Evaluation of Efficacy of Cryotherapy for Skin Anesthesia During Arterial Puncture for Blood Gas in Critically Ill Patients. SNOW Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cryotherapy Effect
- Sponsor
- Versailles Hospital
- Enrollment
- 200
- Locations
- 4
- Primary Endpoint
- Pain during arterial puncture
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
the purpose of this study is to evaluate the cryotherapy effect by vapocoolant spray to reducing pain during puncture for artérial blood gas
Detailed Description
Blood gas analysis by arterial puncture is the Gold Standard in the assessment of a patient's acidbase status and oxygenation. This procedure, which can be repeated depending on the clinical condition of patient, is however associated with a potentially painful experience for patients. The known anesthetic properties of cold can be an interesting alternative to evaluate in the reduction of pain induced during arterial puncture for gas analysis in critically il patients.
Investigators
Jacq Gwenaelle
Investigator coordinator
Versailles Hospital
Eligibility Criteria
Inclusion Criteria
- •All adult patients (age≥18 years) hospitalized in Intensive Care Unit
- •Patient requiering arteriale puncture for ABG
- •A négative score of CAM ICU scale
- •Patient with a score to visual analog scale \< or equal 30mm
- •Securité sociale affiliated
- •consentement
Exclusion Criteria
- •patient undergoing mechanical ventilation
- •patient with arterial catheter
- •patient with arterio veinius fistul
- •patient receiving topical anesthesic at least 2 h before the puncture
- •patient with cutaneous lesion (zone of puncture)
- •Raynaud Syndrom
- •cold sensibility
- •Allen test negative
- •legal guardianship
Outcomes
Primary Outcomes
Pain during arterial puncture
Time Frame: immediately after puncture
Pain will be assessed with the visual analog scale (numeric value go 0 to 100 millimeters and representing intensity of pain from "no pain" to "worst pain imaginable"(1)
Secondary Outcomes
- Ease to performing Arterial Blood Gas (ABG) sampling(immediately after puncture)