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Comparative study of Valsalva maneuver and Rhythmic breathing on pain intensity due to fistula cannulation

Comparison of Valsalva maneuver and Rhythmic breathing in terms of their effectiveness on the pain of vascular needles insertion in hemodialysis patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20120109008665N16
Enrollment
90
Registered
2024-03-14
Start date
2024-04-08
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute pain. Other acute postprocedural pain

Interventions

Intervention 1: Intervention group: Valsalva maneuver in the first group was accomplished through blowing in a plastic pipe connected to a mercury barometer (Easylife, china) and holding up mercury ba

Sponsors

Semnan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Age over 18 years History of at least 3 months of hemodialysis No addiction or dependence on painkillers No pain before cannulation Do not use the sedative at the last 24 hours No wounds in the fistula area Not treated with sulfonamides, nitrates and phenobarbital Not having a pacemaker No history of Alzheimer's disease, dementia, peripheral vascular disease, diabetic neuropathy, liver disease Lack of respiratory problems, brain problems, glaucoma, increased intracranial pressure and recent eye surgery

Exclusion criteria

Exclusion criteria: Patients who are unable to perform the Valsalva maneuver by holding the mercury column above 20 mm Hg for 20 seconds Unsuccessful cannulation in the first step and repeated insertion of the needle into the skin Patients with known heart attack or those with hemodynamic problems or dangerous arrhythmias

Design outcomes

Primary

MeasureTime frame
The severity of the pain. Timepoint: The first stage without intervention - the second stage after the intervention. Method of measurement: Numerical Pain Rating Scale.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactHassan Babamohamadi

Semnan University of Medical Sciences

babamohammdy2007@gmail.com+98 23 3365 4190

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Apr 23, 2026