Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections
Background. Eutectic mixture of local anesthetics (EMLA) cream is often used for local anesthesia during spinal injections. However, this agent has delayed onset of action while vapocoolant spray serves more advantages. The vapocoolant spray containing ethyl chloride has fast onset and is safe, low...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/5050273 |
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| author | Riyadh Firdaus Besthadi Sukmono Annemarie Chrysantia Melati Berial Dewin Marzaini |
| author_facet | Riyadh Firdaus Besthadi Sukmono Annemarie Chrysantia Melati Berial Dewin Marzaini |
| author_sort | Riyadh Firdaus |
| collection | DOAJ |
| description | Background. Eutectic mixture of local anesthetics (EMLA) cream is often used for local anesthesia during spinal injections. However, this agent has delayed onset of action while vapocoolant spray serves more advantages. The vapocoolant spray containing ethyl chloride has fast onset and is safe, low cost, and widely available. This study aimed at comparing the effectiveness of vapocoolant spray and EMLA cream in reducing pain for spinal injections. Methods. This was an experimental study on 94 subjects with 47 subjects treated with EMLA cream and 47 subjects treated with vapocoolant spray. The effectiveness of anesthesia was assessed by using Numeric Pain Rating Scale (NPRS) and patient movement during the surgery. Results. This study found that the pain scale was NPRS 0 (0–3) for the EMLA group and NPRS 0 (0–4) for the vapocoolant spray group. There was no significant difference between two groups for pain scale according to the Mann–Whitney U test. For patient movement, the movement was reported only in one (2.1%) patient in the EMLA group and one (2.1%) patient in the vapocoolant spray group. Based on Fisher’s test, there was no significant difference between the two groups for patient movement. Conclusions. Both EMLA cream and vapocoolant spray were equally effective in reducing pain during spinal injection. There was no difference in degree of pain reduction and patient movement between the EMLA cream group and the vapocoolant spray group during spinal injection. |
| format | Article |
| id | doaj-art-18c29230a8a54e69b493e6b57e2a424b |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-18c29230a8a54e69b493e6b57e2a424b2025-02-03T05:46:12ZengWileyAnesthesiology Research and Practice1687-69621687-69702018-01-01201810.1155/2018/50502735050273Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal InjectionsRiyadh Firdaus0Besthadi Sukmono1Annemarie Chrysantia Melati2Berial Dewin Marzaini3Department of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaBackground. Eutectic mixture of local anesthetics (EMLA) cream is often used for local anesthesia during spinal injections. However, this agent has delayed onset of action while vapocoolant spray serves more advantages. The vapocoolant spray containing ethyl chloride has fast onset and is safe, low cost, and widely available. This study aimed at comparing the effectiveness of vapocoolant spray and EMLA cream in reducing pain for spinal injections. Methods. This was an experimental study on 94 subjects with 47 subjects treated with EMLA cream and 47 subjects treated with vapocoolant spray. The effectiveness of anesthesia was assessed by using Numeric Pain Rating Scale (NPRS) and patient movement during the surgery. Results. This study found that the pain scale was NPRS 0 (0–3) for the EMLA group and NPRS 0 (0–4) for the vapocoolant spray group. There was no significant difference between two groups for pain scale according to the Mann–Whitney U test. For patient movement, the movement was reported only in one (2.1%) patient in the EMLA group and one (2.1%) patient in the vapocoolant spray group. Based on Fisher’s test, there was no significant difference between the two groups for patient movement. Conclusions. Both EMLA cream and vapocoolant spray were equally effective in reducing pain during spinal injection. There was no difference in degree of pain reduction and patient movement between the EMLA cream group and the vapocoolant spray group during spinal injection.http://dx.doi.org/10.1155/2018/5050273 |
| spellingShingle | Riyadh Firdaus Besthadi Sukmono Annemarie Chrysantia Melati Berial Dewin Marzaini Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections Anesthesiology Research and Practice |
| title | Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections |
| title_full | Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections |
| title_fullStr | Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections |
| title_full_unstemmed | Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections |
| title_short | Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections |
| title_sort | comparison between vapocoolant spray and eutectic mixture of local anesthetics cream in reducing pain during spinal injections |
| url | http://dx.doi.org/10.1155/2018/5050273 |
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