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Article 2022 · 7 citations

Ethyl chloride spray, a local anesthetic in arterial blood gas sampling: A randomized, controlled, double-blinded study

Cakmak, Fatma, Gur, Ali

Abstract

Aim: Arterial blood gas sampling provides useful information on respiratory parameters and acid-base balance. However, this procedure is painful and uncomfortable for the patient. Therefore, this study aimed to examine the analgesic efficacy of ethyl chloride spray compared to a placebo during radial artery blood gas sampling. Method: This randomized, double-blind, placebo-controlled study was conducted at the emergency department of a tertiary hospital. A total of 202 patients were randomly divided into two groups: ethyl chloride spray (n = 101) and placebo (n = 101). The analgesic efficacy of ethyl chloride spray was compared with the placebo using the Visual Analog Scale (VAS). Results: The VAS score was determined to be 4 [interquartile range (IQR): 1.0] for the ethyl chloride spray group and 5 (IQR: 1.0) for the placebo group. The analgesic efficacy of ethyl chloride spray in reducing pain was statistically significantly higher compared to the placebo (p = 0.000). Conclusion: Ethyl chloride spray has analgesic efficacy in arterial blood gas sampling. Therefore, the use of this spray provides an analgesic effect on patients during arterial blood gas sampling performed in the emergency department.

Keywords
Arterial blood gas sampling Ethyl chloride Anesthesia Pain CONTROLLED-TRIAL REDUCE PAIN PUNCTURE LIDOCAINE
WoS Categories
Emergency Medicine
Sustainable Development Goals
Citation
Journal
AMERICAN JOURNAL OF EMERGENCY MEDICINE
Year
2022
Volume
59
Pages
63-66
ISSN
0735-6757
eISSN
1532-8171
DOI
10.1016/j.ajem.2022.06.038
WoS UID
WOS:000841114200010
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