An interventional study of 23Gauge and 25Gauge in Blood Gas Analysis and Pain, sponsored by University Hospital, Rouen. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-08-17.
Sponsored by University Hospital, Rouen · Not applicable, Interventional, and Prevention
Arterial blood-gas (ABG) measurements are the gold standard to evaluate pulmonary gas exchange. However, arterial punctures are more painful than venous punctures and, in ICU patients, cause greater anxiety than tracheal aspiration. The only technique that has been shown to effectively reduce pain during arterial punctures is the subcutaneous injection of lidocaine. However, this technique is more time consuming and is poorly used.
Topical anesthesia is widely used during arterial punctures despite the lack of proof of efficacy.
While performing arterial punctures with small gauge needles is feasible, to the best of the investigators knowledge no studies have assessed the effect of needle gauge on arterial puncture related pain.
The aim of the present study was to compare the pain experienced during arterial punctures performed with a 25 G or 23 G needle. The secondary endpoints were the characterization of the pain and the anxiety associated with the arterial punctures.
University Hospital, Rouen is the lead sponsor of 410 studies on the registry; 104 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Arterial blood puncture will be performed using a 23Gauge needle
Procedure: 23Gauge
Arterial blood puncture will be performed using a 25Gauge needle
Procedure: 25Gauge
Arterial puncture will be made using a 23Gauge needle
Arterial puncture will be made using a 25Gauge needle
Pain experienced by the patient during arterial puncture
Evaluated using a Visual Analogue Scale for pain. Graduated from 0 to 100mm
Time frame: Less thant 60minutes after puncture
Anxiety before and after puncture arterial puncture
Evaluated using a Visual Analogue Scale for anxiety. Graduated from 0 to 100mm
Time frame: Before puncture and less than 60minutes after puncture
Most painful moment of the arterial puncture
Evaluated by a standardised questionnaire: The most painful moment was : A/ At needle insertion B/ During puncture C/ After puncture D/ While the puncture was repeated
Time frame: Less than 60minutes after puncture
Duration of arterial puncture
Time needed to perform the procedure will be evaluated using a chronometer. The number of seconds needed to collect the arterial blood gas will we recorded.
Time frame: 10minutes
This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.
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University Hospital, Rouen