Topical anaesthesia in haemodialysis: Evaluation of topical anaesthesia with lidocaine during vascular access in children undergoing long-term haemodialysis for chronic renal failure


Türkmen M., KAVUKÇU S., SOYLU A., Ay N., Sevinç N., Sersan R.

International Journal of Nursing Practice, cilt.3, sa.2, ss.79-83, 1997 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 2
  • Basım Tarihi: 1997
  • Doi Numarası: 10.1111/j.1440-172x.1997.tb00078.x
  • Dergi Adı: International Journal of Nursing Practice
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.79-83
  • Anahtar Kelimeler: Chronic renal failure, Haemodialysis, Lidocaine, Topical anaesthesia
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Children with chronic renal failure are frequently exposed to painful invasive procedures. Ointments containing lignocaine-prilocaine, when used before intravenous punctures, have been reported to lessen the pain sensation. The aim of this study was to interpret the effectiveness of lidocaine 2.5% ointment in preventing pain when used before venous and arterial punctures in children undergoing a haemodialysis programme for chronic renal failure. Eight children were included in this study. The pain level was identified by the patients using a linear analogue scale. When topical anaesthetic and placebo were compared, there was no statistical difference in interpretation of pain during arterial (P>0.4), venous (P>0.375) or both (P>0.4) procedures. We conclude that lidocaine 2.5% ointment is not effective in preventing pain in children undergoing long-term haemodialysis. In these patients some other factors, like psychological factors, puncture technique and needle size must be taken into consideration for the prevention of pain.