Efficacy of Topical Ethyl Chloride Spray versus Subcutaneous1% Lidocaine Injection in Reducing Pain from One RodSystem Implant Insertion
รหัสดีโอไอ
Creator Monthinee Techasomboon
Title Efficacy of Topical Ethyl Chloride Spray versus Subcutaneous1% Lidocaine Injection in Reducing Pain from One RodSystem Implant Insertion
Publisher PIMDEE Co., Ltd.
Publication Year 2560
Journal Title Thai Journal of Obstetrics and Gynaecology
Journal Vol. 25
Journal No. 4
Page no. 266
Keyword ethyl chloride spray, lidocaine, one rod system implant
ISSN 0857-6084
Abstract Objectives: To compare the efficacy of topical ethyl chloride spray and subcutaneous 1% lidocaineinjection in reducing pain from one rod system implant insertion.Materials and Methods: Eighty-four women undergoing one rod implant insertion during February2014 to December 2015 were enrolled and randomly allocated to ethyl chloride spray and 1%lidocaine injection groups. After skin was sterilized, the assigned anesthetic method wasadministered before insertion of one rod implant according to the standard pro-cedure. Painduring anesthetic administration, implant insertion, 20 min after insertion, and overall pain wereevaluated, using a 100-mm visual analogue scale (VAS). Patient and doctor satisfaction weremeasured using a fie-point Likert scale.Results: All basis clinical characteristics between two groups did not differ. There was no signifiantdifference in VAS during and 20 min after implant insertion between 2 anesthetic groups(p > 0.05). Median VAS during anesthetic administration and overall pain in ethyl chloride spraygroup (1.50 and 1.60) were signifiant lower than lidocaine injection group (3.75 and 2.75)(p < 0.01). Patient and doctor satisfaction scores were signifiant higher in ethyl chloride spraygroup (p < 0.05).Conclusion: Ethyl chloride spray can be used as anesthetic option for one rod system implantinsertion. It provides comparable analgesic effect to lidocaine injection but with less pain fromanesthetic administration.
Thai Journal of Obstetrics and Gynaecology

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