Evaluation of Efficacy of Valsalva Maneuver During Peripheral Intravenous Cannulation on Pain.
Journal
Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
19
02
2020
revised:
28
01
2021
accepted:
31
01
2021
pubmed:
14
3
2021
medline:
14
4
2022
entrez:
13
3
2021
Statut:
ppublish
Résumé
AIMS: The aim of this study was to examine the effects of the Valsalva maneuver during peripheral intravenous catheter (PIVC) insertion on procedure-related pain. This work was a prospective randomized controlled study. Study was conducted in the orthopedics clinic of a university hospital. METHODS: The sample of patients (N = 110) was allocated to the Valsalva maneuver group (n = 55) and control group (n = 55) by using blocked randomization to reduce bias and achieve balance according to age and gender. Pain was evaluated by using Numerical Rating Scale. Systolic/diastolic blood pressure and heart rate before and after the PIVC placement was recorded. The patients in the intervention group had less severe pain during the PIVC insertion than the patients in the control group (p ˂ .001). After PIVC placement, systolic blood pressure was significantly reduced in both groups (p = .008), no other variables changed significantly. No clinical complication related to the Valsalva maneuver occurred in the intervention group. Valsalva maneuver can be used as a non-pharmacologic method to reduce pain during PIVC placement.
Sections du résumé
BACKGROUND
BACKGROUND
AIMS: The aim of this study was to examine the effects of the Valsalva maneuver during peripheral intravenous catheter (PIVC) insertion on procedure-related pain.
DESIGN
METHODS
This work was a prospective randomized controlled study.
SETTINGS
METHODS
Study was conducted in the orthopedics clinic of a university hospital.
PARTICIPANTS/SUBJECTS
METHODS
METHODS: The sample of patients (N = 110) was allocated to the Valsalva maneuver group (n = 55) and control group (n = 55) by using blocked randomization to reduce bias and achieve balance according to age and gender. Pain was evaluated by using Numerical Rating Scale. Systolic/diastolic blood pressure and heart rate before and after the PIVC placement was recorded.
RESULTS
RESULTS
The patients in the intervention group had less severe pain during the PIVC insertion than the patients in the control group (p ˂ .001). After PIVC placement, systolic blood pressure was significantly reduced in both groups (p = .008), no other variables changed significantly. No clinical complication related to the Valsalva maneuver occurred in the intervention group.
CONCLUSION
CONCLUSIONS
Valsalva maneuver can be used as a non-pharmacologic method to reduce pain during PIVC placement.
Identifiants
pubmed: 33712356
pii: S1524-9042(21)00028-X
doi: 10.1016/j.pmn.2021.01.013
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
220-224Informations de copyright
Copyright © 2021 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None