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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.
Subject(s)

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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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