Management of pain at arteriovenous fistula puncture : cryotherapy versus lidocaine-prilocaine
Joint Authors
Ramadani, Bin Yunus
Qurtubi, Lubna
Belymam, Hajar
al-Shuqayri, Nawfal Mtiui
al-Khayyat, Salma Siham
Gharbi, Muhammad Benghanem
Zamd, Muhammad
Medkouri, G.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 31, Issue 3 (30 Jun. 2020), pp.597-603, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2020-06-30
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Abstract EN
Pain at arteriovenous fistula (AVF) puncture is common in hemodialysis (HD) patients.
The purpose of our work is to determine its frequency, to evaluate the efficiency of two techniques: anesthetic cream (EmlaTM) and cryotherapy, and to compare their efficiency.
A prospective and interventional analytical study of HD patients was conducted in our structure.
We included all patients with pain at AVF puncture.
We evaluated the pain intensity using a visual analogue scale before and after our intervention: EmlaTM cream during three consecutive HD sessions, then cryotherapy (ice cubes placed in latex gloves, during 5 min, directly applied on the puncture sites) during three consecutive HD sessions.
The statistical analysis was performed using the Epi Info software.
Eighty-four patients are undergoing HD in our structure, of which 32 (38%) report pain at AVF puncture.
The mean value of the visual analog scale before the puncture was 7.19 ± 1.95 (4–10).
Pain decrease was statistically significant for both techniques.
Comparative analysis of the two techniques revealed a significant reduction in pain in favor of cryotherapy (P 0.001).
The analgesic effect has been proved for both techniques.
Cryotherapy provides higher efficiency, with fewer constraints, and could be proposed for the management of pain at AVF puncture.
American Psychological Association (APA)
Qurtubi, Lubna& Belymam, Hajar& al-Shuqayri, Nawfal Mtiui& Zamd, Muhammad& Medkouri, G.& Gharbi, Muhammad Benghanem…[et al.]. 2020. Management of pain at arteriovenous fistula puncture : cryotherapy versus lidocaine-prilocaine. Saudi Journal of Kidney Diseases and Transplantation،Vol. 31, no. 3, pp.597-603.
https://search.emarefa.net/detail/BIM-1333596
Modern Language Association (MLA)
Qurtubi, Lubna…[et al.]. Management of pain at arteriovenous fistula puncture : cryotherapy versus lidocaine-prilocaine. Saudi Journal of Kidney Diseases and Transplantation Vol. 31, no. 3 (May. / Jun. 2020), pp.597-603.
https://search.emarefa.net/detail/BIM-1333596
American Medical Association (AMA)
Qurtubi, Lubna& Belymam, Hajar& al-Shuqayri, Nawfal Mtiui& Zamd, Muhammad& Medkouri, G.& Gharbi, Muhammad Benghanem…[et al.]. Management of pain at arteriovenous fistula puncture : cryotherapy versus lidocaine-prilocaine. Saudi Journal of Kidney Diseases and Transplantation. 2020. Vol. 31, no. 3, pp.597-603.
https://search.emarefa.net/detail/BIM-1333596
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 602-603
Record ID
BIM-1333596