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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Borracha
/
Pele
/
Punção Espinal
/
Punções
/
Manobra de Valsalva
/
Incidência
/
Barorreflexo
/
Esfigmomanômetros
/
Cefaleia Pós-Punção Dural
/
Escala Visual Analógica
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2016
Tipo de documento:
Artigo
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