The purpose of this study is to determine whether or not the pain of IV catheter insertion in the Emergency Department can be reduced significantly with the use of a rapid acting topical anesthetic spray and to determine whether or not healthcare providers who undergo such treatment are likely to endorse its use in their future practice.
We recruited 38 emergency department healthcare providers (doctors, physician assistants, nurses and medics) to receive a total of two separate IV canulations - one in one arm and the other in the other. One IV canulation would be pretreated with Ethyl Chloride topical anesthetic (the study product) and the other would be pre-treated with a placebo (sterile water in an aerosol can). Both the participants and the nurses, PAs and medics who placed the IVs were blinded as to which was the Ethyl Chloride and which was the placebo. After the IVs were placed the participants were asked to rate the pain of IV canulation on a scale of 1 to 10 for each of the pre-treatments, to state which one they believed to be superior in reducing the pain of receiving the IV, to state whether or not they would like the intervention that they rated as superior to be used on themselves and finally how likely they were on a 5 point scale to incorporate the intervention they rated as superior into their future practice.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
38
Sprayed on the skin for 5-8 seconds immediately before IV cannulation
Sprayed on the skin for 5-8 seconds immediately before IV cannulation
Brooke Army Medical Center
Fort Sam Houston, Texas, United States
Pain
Ordinal pain scale (1-10)
Time frame: 1 minute
Preferred product
Categorical selection of preferred product for use on self prior to IV placement
Time frame: 1 minute
Desire to use on self in future
Binary (yes, no) desire to use on self prior to IV placement in future
Time frame: 1 minute
Desire to use on patients in future
Binary (yes, no) desire to use on patients prior to IV placement in future
Time frame: 1 minute
Likelihood to use on patients in future
5 point likert scale ranging from "very unlikely" to "very likely"
Time frame: 1 minute
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