Affordable Access

deepdyve-link
Publisher Website

Comparison of the Effects of Vapocoolant Spray and Topical Anesthetic Cream on Pain During Intraarticular Injection of the Shoulder: A Randomized Double-Blind Controlled Trial.

Authors
  • Moon, Young-Eun1
  • Kim, Sang-Hyun2
  • Seok, Hyun3
  • Lee, Seung Yeol3
  • 1 Department of Anesthesiology and Pain Medicine (Moon), Catholic University Seoul St. Mary's Hospital, Seoul, Korea. , (North Korea)
  • 2 Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon, Korea. Electronic address: [email protected] , (North Korea)
  • 3 Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon, Korea. , (North Korea)
Type
Published Article
Journal
Archives of physical medicine and rehabilitation
Publication Date
Oct 01, 2020
Volume
101
Issue
10
Pages
1689–1695
Identifiers
DOI: 10.1016/j.apmr.2020.04.021
PMID: 32445850
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study was performed to compare the effects of a vapocoolant spray and a eutectic mixture of local anesthetics (EMLA) cream on reducing pain during intra-articular (IA) injection of the shoulder. Double-blind randomized placebo-controlled clinical trial. University hospital. Patients (N=63) who underwent IA injection of the shoulder joint were randomized into the spray group, EMLA group, or placebo group. Placebo cream+vapocoolant spray (spray group), EMLA cream+placebo spray (EMLA group), or placebo cream+placebo spray (placebo group) before IA injection. A 100-mm visual analog scale (VAS) for injection pain and 5-point Likert scales for participant satisfaction and preference for repeated use were administered immediately after IA injection. The VAS scores for pain during IA injection were 30.0 (95% CI, 19.7-41.2) in the spray group, 50.0 (95% CI, 37.7-63.0) in the EMLA group, and 53.8 (95% CI, 41.6-65.0) in the placebo group (F=6.403, P<.01). The spray group showed significantly better Likert scale scores than the placebo group for participant satisfaction (P=.003) and preference for repeated use (P<.001). Vapocoolant spray was effective in reducing pain during IA injection of the shoulder. Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Report this publication

Statistics

Seen <100 times