The effect of Valsalva maneuver in attenuating skin puncture pain during spinal anesthesia: a randomized controlled trial / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 27-31, 2016.
Article
in English
| WPRIM
| ID: wpr-88474
ABSTRACT
BACKGROUND:
Valsalva maneuver reduces pain by activating sinoaortic baroreceptor reflex arc. We planned this study to evaluate the role of valsalva in attenuating spinal needle-puncture pain.METHODS:
Ninety American Society of Anesthesiologists (ASA) grade I and II enrolled patients undergoing elective surgery were randomized into 3 groups of 30 each. Group I (Control) didn't blow; group II (Distraction) patients blew into rubber tube; Group III (Valsalva) blew into sphygmomanometer tube and raise mercury column up to 30 mmHg for at least 20 seconds. During above procedures, spinal puncture was performed with 25-gauge spinal needle.RESULTS:
Eighty-two patient data were analyzed. Incidence of spinal puncture pain was reduced to 10% (3 of 27) in Valsalva group as compared to 100% (28 of 28 in control group and 27 of 27 in Distraction group) observed in other two groups (P 0.05). None patient of all groups had post dural puncture headache (P > 0.05).CONCLUSIONS:
Valsalva can be performed routinely in ASA I and II patients undergoing spinal anesthesia as it is safe, painless and non-pharmacological method of pain attenuation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rubber
/
Skin
/
Spinal Puncture
/
Punctures
/
Valsalva Maneuver
/
Incidence
/
Baroreflex
/
Sphygmomanometers
/
Post-Dural Puncture Headache
/
Visual Analog Scale
Type of study:
Controlled clinical trial
/
Incidence study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2016
Type:
Article
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