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IRCT201406057844N4 IRCT 2014-11-19 Vice chancellor for research, Kerman University of Medical Sciences Evaporative spray effect on reducing injection pain in children Study of effectiveness of evaporative spray on intravenous catheterization pain in Imam Reza Hospital in Sirjan 2014 2014-01-20 anticipated 60 Complete https://irct.ir/trial/8294 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. N/A Children hospitalized in Imam Reza Hospital in Sirjan. Intervention 1: Intervention group: Researcher prior to venipuncture to children and their parents participated in intervention group, branoll and supplies for venipuncture showed and describeto the about how to open up and fix IV. In addition to this equipment, evaporative spray in test group was added, and the children and their families was explained that the purpose of using the spray is only to reduce pain. Evaporative spray used in this study is freeze spray product in Italy, the exclusive representative of the company of modern medicine is expensive equipment. Vapocoolant sprays are rapid-acting alternatives to topical anesthetics. The material used in spray is isopropyl alcohol. They provide transient anesthesia via evaporation-induced skin cooling, which reduces pain. Evaporative spray after being sprayed, destroys the skin hot and with disabling pain receptors can cause temporary numbness. The vapocoolant spray that we studied is a nonflammable, nontoxic and ozone-friendly spray. It is easy to apply, is less expensive than alternatives, works instantaneously, does not require a needle or needle-like device and is relatively innocuous. Side effects include rare allergic reactions and minor temporary skin changes. Unfortunately, skin changes may become permanent if the topical spray exceeds 10 seconds because severe local hypothermia may cause the death of local cells Area of the venipuncture was bent elbow. In the test group before venipuncture, evaporative spray was used,It was to be sprayed at room temperature by the researcher from a distance of25-30 cm for 5-10 seconds until the white and pale skin would have and Because of the short-acting, 40-30 seconds after the vessel began taking by special nurse.In addition, the intervention group before venipuncture first spray was and after the area was Sterilization. To reduce the effect of confounding factors, the sterilization procedures and venipuncture was performed completely identical in intervention group. Practice of opening a vein in all of the sample, in intervention group were performed by nurses with pediatric experience. Behavioral pain scale in children during procedures in intervention group were observed and recorded by the nurse researcher. After injection pain in children by means of numerical pain was assessed by the children themselves. Intervention 2: Control group: In the control group used of placebo spray that Similar to the form used in the intervention group but with normal Saylyn . How to use a placebo spray Practice of opening vein and the instruments and area of the venipuncture in Control group were similar to intervention group. In the Control group before venipuncture, placebo spray was used,It was to be sprayed at room temperature by the researcher from a distance of25-30 cm for 5-10 seconds, 40-30 seconds after the vessel began taking by special nurse.In addition, the Control group before venipuncture first spray was and after the area was Sterilization. Practice of opening a vein in all of the sample, in Control group were performed by nurses with pediatric experience. Behavioral pain scale in children during procedures in Control group were observed and recorded by the nurse researcher. After injection pain in children by means of numerical pain was assessed by the children themselves.
public Masood Rayani
Chamber of Presiden, second floor,School of Nursing and Midwifery, Haftbagh, Kerman
Kerman Iran (Islamic Republic of) ۷۶۱۸۷۴۷۶۵۳ +98 34 1322 5077 mryani@kmu.ac.ir Kerman University of Medical Sciences scientific Mansor Arab
The second room on the right, second floor, Nursing and Midwifery, Haftbagh, Kerman
Kerman Iran (Islamic Republic of) ۷۶۱۸۷۴۷۶۵۳ +98 34 1226 0588 marab112004@yahoo.com Kerman University of Medical Sciences Iran (Islamic Republic of) Exclusion criteria: Venipuncture to diagnosis doctor; Ability to respond to visual analog scale; Parental consent to participate in research; Children's oral consent to participate in research; Accompanied by a parent in the study and first venipuncture experience when admitted. Inclusion criteria: use of drugs that alter children's consciousness; Sensitivity to anesthetic spray and cold; Specific diseases (thyroid disorders, epilepsy, peripheral vascular disease or disease that causes loss of consciousness in children); Reject to participate; Severe pain; Urgent need for venipuncture; Get another non-pharmacological methods of pain control during the procedure and deficiency of physical and mental health to the extent that it is prevented from doing research (word - mentally - visual – physica). 6 years 12 years Both Treatment - Drugs Treatment - Drugs Intervention group: Researcher prior to venipuncture to children and their parents participated in intervention group, branoll and supplies for venipuncture showed and describeto the about how to open up and fix IV. In addition to this equipment, evaporative spray in test group was added, and the children and their families was explained that the purpose of using the spray is only to reduce pain. Evaporative spray used in this study is freeze spray product in Italy, the exclusive representative of the company of modern medicine is expensive equipment. Vapocoolant sprays are rapid-acting alternatives to topical anesthetics. The material used in spray is isopropyl alcohol. They provide transient anesthesia via evaporation-induced skin cooling, which reduces pain. Evaporative spray after being sprayed, destroys the skin hot and with disabling pain receptors can cause temporary numbness. The vapocoolant spray that we studied is a nonflammable, nontoxic and ozone-friendly spray. It is easy to apply, is less expensive than alternatives, works instantaneously, does not require a needle or needle-like device and is relatively innocuous. Side effects include rare allergic reactions and minor temporary skin changes. Unfortunately, skin changes may become permanent if the topical spray exceeds 10 seconds because severe local hypothermia may cause the death of local cells Area of the venipuncture was bent elbow. In the test group before venipuncture, evaporative spray was used,It was to be sprayed at room temperature by the researcher from a distance of25-30 cm for 5-10 seconds until the white and pale skin would have and Because of the short-acting, 40-30 seconds after the vessel began taking by special nurse.In addition, the intervention group before venipuncture first spray was and after the area was Sterilization. To reduce the effect of confounding factors, the sterilization procedures and venipuncture was performed completely identical in intervention group. Practice of opening a vein in all of the sample, in intervention group were performed by nurses with pediatric experience. Behavioral pain scale in children during procedures in intervention group were observed and recorded by the nurse researcher. After injection pain in children by means of numerical pain was assessed by the children themselves.. Control group: In the control group used of placebo spray that Similar to the form used in the intervention group but with normal Saylyn . How to use a placebo spray Practice of opening vein and the instruments and area of the venipuncture in Control group were similar to intervention group. In the Control group before venipuncture, placebo spray was used,It was to be sprayed at room temperature by the researcher from a distance of25-30 cm for 5-10 seconds, 40-30 seconds after the vessel began taking by special nurse.In addition, the Control group before venipuncture first spray was and after the area was Sterilization. Practice of opening a vein in all of the sample, in Control group were performed by nurses with pediatric experience. Behavioral pain scale in children during procedures in Control group were observed and recorded by the nurse researcher. After injection pain in children by means of numerical pain was assessed by the children themselves Pain. Timepoint: During and immediately after the intervention. Method of measurement: \ numeric scale & behavioral scale to measure pain. Skin effects. Timepoint: During and after the intervention. Method of measurement: Observation. Not in place Not in place در جایی ثبت نشده است در جایی ثبت نشده است Vice chancellor for research, Kerman University of Medical Sciences Approved 2010-09-23 The ethics committee of Kerman university of medical sciences The ethics committee, second floor, Kerman university of medical sciences,Republic Blvd Kerman Iran (Islamic Republic of)