Decreasing pain on venous cannulation Decreasing sensation on the dorsum of the hand Lidocaine Prilocaine EMLA Plaster Sensation Pain Venous cannulation Monofilament
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 yr or more No difficult venous catheter insertion both dorsum of hands Admit 1 day or more before surgery ASA physical status 1-3 Written inform consent
Exclusion criteria
Exclusion criteria: Neurological disorders and abnormal perception of skin Disease which affects the perception of skin such as diabetes Abnormal skin lesion on the dorsum of the hand such as ulcers, scars, swelling Contraindication for venous catheter insertion on the dorsum of the hands such as axillary lymph node dissection, AVBG, SVC obstruction Allergy to lidocaine, prilocaine, and preservatives Unable to communicate Patient refusing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain on venous cannulation Morning of surgery (after applying of EMLA at least 1 hour or lidocaine plaster at least 7 hours) Visual analogue scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| The monofilament-pick detected sensation Baseline and before venous cannulation (after applying of EMLA >1 hour or lidocaine plaster >7 hour) The Semmes Weinstein monofilament examination,Side effects During applying both medications until 24 hour after removing Number of count,Skin wrinkling Baseline and before venous cannulation (after applying of EMLA >1 hour or lidocaine plaster >7 hour) Wrinkling scale,Procedurer's satisfaction After venous cannulation Satisfaction score (0-10),Number of attempts of venous cannulation After venous cannulaation Number of count | — |
Countries
Thailand
Contacts
Ramathibodi Hospital