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Reducing Pain Intensity During Spinal Needle Insertion: Valsalva Maneuver vs. Control Technique

Comparison of Valsalva Maneuver and Control Technique in Reducing Pain Intensity During Spinal Needle Insertion

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04029662
Enrollment
78
Registered
2019-07-23
Start date
2019-08-01
Completion date
2019-12-01
Last updated
2020-01-02

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

Conditions

Undefined

Brief summary

This study was aimed to observe the efficacy of Valsalva maneuver in reducing pain intensity during spinal needle insertion.

Detailed description

Spinal anesthesia is one of the regional anesthesia techniques needed to provide motor, sensory, and autonomic blocks specifically for lower limbs by delivering local anesthetics into subarachnoid space. This technique is not difficult to perform and relatively inexpensive. However, spinal anesthesia may cause an intense pain during needle insertion. Valsalva maneuver is an attempt to force expiration by pushing a closed airway, such as covering nose or mouth. This maneuver can lead to anti-nociceptive stimulation and may decrease the pain. Thus, this study was aimed to observe the efficacy of Valsalva maneuver in reducing pain intensity during spinal needle insertion.

Interventions

Performing Valsalva maneuver will reduce the pain intensity during spinal needle insertion.

Sponsors

Indonesia University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Elective patients having spinal anesthesia * Patients with no previous history of spinal anesthesia * Patients with criteria of American Society of Anaesthesiologist (ASA) I-II * Patients willing to participate in the study and signing informed consent form

Exclusion criteria

* Patients with contraindications of spinal anesthesia * Patients with difficulty in blowing 30 mmHg for 20 seconds * Patients having allergic reactions due to local anesthetics and opioid

Design outcomes

Primary

MeasureTime frameDescription
Level of Pain Intensity15 minutesPain Measurement by Visual Analog Scale or Numeric Rating Scale with Range 1-10

Countries

Indonesia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026