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The effects of Valsalva manoeuvres on venepuncture pain

Published online by Cambridge University Press:  01 March 2006

G. Basaranoglu ,
M. Basaranoglu ,
V. Erden ,
H. Delatioglu ,
A. F. Pekel  and
L. Saitoglu
G. Basaranoglu
Affiliation:
Vakif Gureba Hospital, Department of Anaesthesiology, Istanbul, Turkey
M. Basaranoglu
Affiliation:
Selcuk University School of Medicine, Division of Gastroenterology and Hepatology, Konya, Turkey
V. Erden
Affiliation:
Vakif Gureba Hospital, Department of Anaesthesiology, Istanbul, Turkey
H. Delatioglu
Affiliation:
Vakif Gureba Hospital, Department of Anaesthesiology, Istanbul, Turkey
A. F. Pekel
Affiliation:
Cerrahpasa School of Medicine, Department of Anaesthesiology, Istanbul, Turkey
L. Saitoglu
Affiliation:
Vakif Gureba Hospital, Department of Anaesthesiology, Istanbul, Turkey
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Summary

Background and objective: Stimulating the vagus nerve reduces pain. The purpose of this study was to evaluate the effect of a Valsalva manoeuvre, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. Methods: This was a prospective randomized clinical trial. One hundred and ten patients scheduled for elective surgery were randomly divided into two groups. Half of the patients, Group A, underwent venepuncture during a Valsalva manoeuvre and the other half of the patients, Group B, underwent venepuncture without performing a Valsalva manoeuvre. Patients made a pain assessment using a 0–10 point numerical rating scale. Results: The numerical rating scale score was 1.5 ± 1.2 for Group A and 3.1 ± 1.9 for Group B, the difference being statistically significant (P < 0.0001). Conclusions: On the basis of data from this study, the Valsalva manoeuvre may be of the value before venous cannulation as a simple and practical method to reduce pain from venous cannulation.

Keywords

PAIN MEASUREMENTPAIN, acuteCATHETERIZATION PERIPHERAL, venousANAESTHESIA GENERALVALSALVA MANOEUVRE
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 23 , Issue 7 , July 2006 , pp. 591 - 593
Copyright
© 2006 European Society of Anaesthesiology

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