Effect of provider communication on perception of pain during intravenous cannulation: A double blinded randomized controlled trail
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 5, Issue 1
Abstract
Background: Anaesthesiologists utilize communication skills in their day to day practice in order to reduce the pain perception of patients during invasive procedures like intravenous cannulation. Our study aimed to know the effect of three different types of communication provided by anaesthesiologists on perception of pain (primary outcome) and behavioural / visual discomfort (secondary outcome) during intravenous cannulation. Our study intended to study effect of communication on perception of pain during any invasive procedures. Methods: A double blind, randomized prospective clinical study was conducted on 300 patients who were posted electively for surgery. They were randomly allocated into three groups they were ST, NP and NU group. Each group received its respective communication in patient’s own language. Our primary and secondary outcome measures were measured with Visual Analogue Scale (VAS) score and Modified Behavioural Pain Rating Scale (MBPRS) score respectively. Results: VAS scores (p=0.549) were not normally distributed, most of the patients perceived as mild to moderate pain and none of them had severe pain. MBPRS scores were obtained for both local anaesthetic injection and intravenous cannulation separately which showed p value of 0.826 and 0.827 respectively. Conclusions: The intensity of pain perception and behavioural display of pain during intravenous cannulation is similar for patients irrespective of the type of communication.
Authors and Affiliations
Divyashri C N, Jasvinder Kaur, Shwethapriya Rao, Shiyad M
A comparative study of esmolol versus dexmedetomidine in attenuation of cardiovascular response following laryngoscopy
Objectives: To compare the safety and efficacy of esmolol versus dexmedetomidine in attenuation of cardiovascular response to laryngoscopy. Study design: Randomized controlled clinical trial. Place and duration of study:...
A study of effectiveness of Intravenous Lidocaine and Gabapentin and their combination on postoperative analgesia for thyroid surgeries at tertiary health care center
Background: An ultimate goal of surgical treatment is approaching better recovery for a high quality of life without complications and sequelaes. More than 80% of surgical patients experience postoperative pain. Aims and...
A comparative study of epidural 0.5% isobaric levobupivacaine and epidural 0.5% isobaric levobupivacaine with dexmedetomidine for patients undergoing elective infraumbilical and lower limb surgeries
Background: Regional anaesthesia is the most commonly used technique for lower abdominal and lower limb surgeries as it is very economical and easy to administer. A number of adjuvants, such as opioids and alpha 2 agonis...
Efficacy of dexmedetomidine infusion in patients undergoing tympanoplasty surgery under local anaesthesia
Background: Tympanoplasty is done under local anaesthesia using a microscope and require good surgical field visibility. Dexmedetomidine is a highly selective α2 adrenergic agonist used for analgesia and sedation, sympat...
Intraoperative awareness during general anaesthesia, in patients with blood loss equal to or more than 20% of blood volume: An observational study
Background and Aims: intraoperative awareness during general anaesthesia leads to anxiety, depression and post traumatic stress disorder. We studied incidence of awareness in surgeries with blood loss of 20% and more. We...