2.50
Hdl Handle:
http://hdl.handle.net/10755/182757
Category:
Abstract
Type:
Presentation
Title:
"A Controlled, Randomized Trial Comparing Single to Multiple Application Lidocaine Analgesia "
Author(s):
Boots, Brenda; Edmunds, Elizabeth
Author Details:
Brenda Boots, RN, BSN, CRN, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA, email: bboots@cmh.edu; Elizabeth Edmunds, RN, BSN
Abstract:
Poster Presentation: Objective: Pediatric patients undergoing urinary catheterizations report experiencing discomfort. The aim of the study is to evaluate if discomfort levels are significantly different when two different pre-catheterization analgesia strategies are used. Patients and Methods: A prospective, single-blind, randomized, controlled trial was conducted. Patients from two months through seven years of age were eligible, if no altered pain perception present. They were randomized into two groups: 1) Control group: two applications (1st topical/ 2nd intraurethral), 5 minutes apart; and 2) Intervention group: one application 5 minutes prior to catheterization (topical followed immediately by intraurethral). 2% lidocaine gel was administered through device specifically designed for intraurethral application. Pediatric nurses performed the catheterization and assigned the FLACC pain score (primary outcome variable) at the time of the catheterization. Secondary outcomes included parental perceptions and pre and post-catheterization heart rate. Results: The study was conducted between September, 2005 and September, 2006. Two-hundred children between two months through seven years of age were randomly assigned for study inclusion, with 91 patients enrolled into the two application group and 109 patients into the single application group. No statistically significant differences (p = 0.779) in the mean FLACC pain score between the intervention group (mean = 3.30), and the control group (mean = 3.39), heart rate or parental perceptions were observed. Conclusions: A 5 minute single application of lidocaine provides significant reduction in discomfort for pediatric patients prior to urinary catheterization. Outcomes were not affected by utilization of a 2nd topical dosing of lidocaine. REFERENCES: 1. Gray M. Atraumatic urethral catheterization of children. Pediatr Nurs. 1996 Jul-Aug;22(4):306-10. 2. Gerard LL, Cooper CS, Duethman KS, Gordley BM, Kleiber CM. Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization. J Urol. 2003 Aug;170(2 Pt 1):564-7. 3. Vaughan M, Paton EA, Bush A, Pershad J. Does lidocaine gel alleviate the pain of bladder catheterization in young children? A randomized, controlled trial. Pediatrics. 2005 Oct;116(4):917-20. 4. "Developmentally appropriate behavioral distraction techniques". Children's Hospital, Boston, 2002. 5. Merkel, S., Voepel-Lewis, R., Shavevitz, J., Malviva, S., "The FLACC: A behavioral scale for scoring postoperative pain in young children," Pediatric Nursing, May 1997;23(3):293-297. 6. Voepel-Lewis, T., Merkel S., Tait, AR., Trzcinka A., Malviya, S. "The Reliability and Validity of the Face, Legs, Activity, Cry, Consolability observational tool as a Measure of Pain in Children with Cognitive Impairment," Anesthesia Analg. 2002, November; 95(5): 1224-1229.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.title"A Controlled, Randomized Trial Comparing Single to Multiple Application Lidocaine Analgesia "en_GB
dc.contributor.authorBoots, Brendaen_US
dc.contributor.authorEdmunds, Elizabethen_US
dc.author.detailsBrenda Boots, RN, BSN, CRN, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA, email: bboots@cmh.edu; Elizabeth Edmunds, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182757-
dc.description.abstractPoster Presentation: Objective: Pediatric patients undergoing urinary catheterizations report experiencing discomfort. The aim of the study is to evaluate if discomfort levels are significantly different when two different pre-catheterization analgesia strategies are used. Patients and Methods: A prospective, single-blind, randomized, controlled trial was conducted. Patients from two months through seven years of age were eligible, if no altered pain perception present. They were randomized into two groups: 1) Control group: two applications (1st topical/ 2nd intraurethral), 5 minutes apart; and 2) Intervention group: one application 5 minutes prior to catheterization (topical followed immediately by intraurethral). 2% lidocaine gel was administered through device specifically designed for intraurethral application. Pediatric nurses performed the catheterization and assigned the FLACC pain score (primary outcome variable) at the time of the catheterization. Secondary outcomes included parental perceptions and pre and post-catheterization heart rate. Results: The study was conducted between September, 2005 and September, 2006. Two-hundred children between two months through seven years of age were randomly assigned for study inclusion, with 91 patients enrolled into the two application group and 109 patients into the single application group. No statistically significant differences (p = 0.779) in the mean FLACC pain score between the intervention group (mean = 3.30), and the control group (mean = 3.39), heart rate or parental perceptions were observed. Conclusions: A 5 minute single application of lidocaine provides significant reduction in discomfort for pediatric patients prior to urinary catheterization. Outcomes were not affected by utilization of a 2nd topical dosing of lidocaine. REFERENCES: 1. Gray M. Atraumatic urethral catheterization of children. Pediatr Nurs. 1996 Jul-Aug;22(4):306-10. 2. Gerard LL, Cooper CS, Duethman KS, Gordley BM, Kleiber CM. Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization. J Urol. 2003 Aug;170(2 Pt 1):564-7. 3. Vaughan M, Paton EA, Bush A, Pershad J. Does lidocaine gel alleviate the pain of bladder catheterization in young children? A randomized, controlled trial. Pediatrics. 2005 Oct;116(4):917-20. 4. "Developmentally appropriate behavioral distraction techniques". Children's Hospital, Boston, 2002. 5. Merkel, S., Voepel-Lewis, R., Shavevitz, J., Malviva, S., "The FLACC: A behavioral scale for scoring postoperative pain in young children," Pediatric Nursing, May 1997;23(3):293-297. 6. Voepel-Lewis, T., Merkel S., Tait, AR., Trzcinka A., Malviya, S. "The Reliability and Validity of the Face, Legs, Activity, Cry, Consolability observational tool as a Measure of Pain in Children with Cognitive Impairment," Anesthesia Analg. 2002, November; 95(5): 1224-1229.en_GB
dc.date.available2011-10-28T15:38:45Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:38:45Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.