This study evaluate topical anaesthesia application for 30 minutes before tranradial catheterization during cardiac catheterization can reduce pain and decrease radial artery spasm
The incidence of Radial artery spasm (RAS) has varied from 5-30% RAS refers to friction between the artery and wires or guide catheters accompanied by a subjective feeling of pain. EMLA anesthetic ointment (AO-Astra Zeneca) is an emulsion of lidocaine 2.5% and prilocaine 2.5% in a ratio of 1:1 by weight Previous study showed that EMLA cream can increase the success rate of femoral cannulation in children.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
EMLA Cream 2.5 gr applied to both wrists
Placebo Cream 2.5gr applied to both wrist
Department of Internal Medicine
Bangkok, Thailand
RECRUITINGRadial pain assessed during artery puncture
Record pain by visual analog score sub-scale 0(no pain)-10(max pain)
Time frame: 30 min
Radial pain assessed 30 min after sheath removal
Record pain by visual analog score
Time frame: 4 hr post procedure
Number of puncture attempts
Number of puncture attempts
Time frame: imediate post procedure
Occurrence of radial artery spasm
NuNumber of radial artery spasm
Time frame: during and post procedure up to 1 years
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