Effect of Cold Application to Different Side Neck Region on Venous Cannulation Pain

NCT06253299 | Completed

• 1 other identifier: GOKAEK 2024/3/9
• Study Type: observational
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

Intravenous (iv) cannulation is one of the most common applications performed by anesthesiologists in and outside the operating room. It is necessary to provide vascular access before any anesthetic procedure. Venous cannulation is a moderately painful procedure and is uncomfortable for patients, and the pain of intravenous cannulation may increase the patient's stress. Various methods are used to reduce cannulation pain. Stimulation of the N. Vagus is also among these methods (1). The branches of N. Vagus are densely located under the skin in the auricle and on the lateral aspect of the neck. It is thought that the dominance of the right and left vagal nerve over different systems is different. For example; While the right vagal branches are thought to be more effective on heart rate, the left side vagal branches are thought to be more effective in the treatment of refractory epilepsy. Purpose: Our aim in this study is to evaluate the vascular access pain in our patients to whom investigator applied venous cannulation from the back of the hand before anesthesia, by stimulating the Vagus Nerve with cold application to the neck area on both sides separately.

Conditions

Venous Canulation Pain; Nervous Vagus; Left Side; Right Side

Outcome Measures

Primary Outcomes (1)

• Venous cannulation pain

  Venous cannulation pain will be evaluated with the numerical pain scale (NRS).

  preoperative period

Secondary Outcomes (1)

• heart rate

  preoperative period

Study Arms (2)

Group L

Just before the vascular access is opened, a 4x5 cm sized marble stone will be applied to the carotid in the left lateral neck region (2-3 cm above the clavicle, on the sternocleidomastoid muscle (SKM)) for 30 seconds, and then the vascular access will be opened

Other: marble stone

Group R

Just before the vascular access is opened, a 4x5 cm cold marble stone will be held on the carotid in the right lateral neck area (2-3 cm above the clavicle, on the sternocleidomastoid muscle (SKM)) for 30 seconds (sec), and then the vascular access will be opened.

Other: marble stone

Interventions

marble stone OTHER

Marble stones with dimensions of 4x5 cm will be used for cold application. When placed in the freezer compartment of the refrigerator at -10°C (Celsius) for 4 minutes, they cool down to 11°C. Subsequently, in 1 minute, the temperature rises to 12°C when held in the palm. "After being placed on a table at room temperature, it reaches 18°C in 5 minutes."

Group L; Group R

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients between the ages of 18-75 who will undergo elective surgery

You may qualify if:

• years old
• ASA I,II,III patients
• Patients who will undergo elective surgery

You may not qualify if:

• Patients undergoing emergency surgery
• Patients who will undergo oncological surgery
• Pregnant patients
• Patients with scars on the back of the hand
• Who had surgery on the back of the hand
• Patients with psoriasis
• Those with peripheral vascular disease
• Patients using chronic analgesics
• Patients using opioids
• Those who use steroids
• Those who use gabapentinoids
• Those with a history of substance use
• Those with peripheral neuropathy
• Patients who have received oncological treatment
• Patients with limited cooperation

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Şenay Canikli Adıgüzel

Ataşehir, Samsun, 55025, Turkey (Türkiye)

Location

Related Links

• Related Info

Study Officials

• Senay canikli adıgüzel

  Samsun University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: medical specialist (Anesthesiology and Reanimation)

Study Record Dates

• First Submitted: February 1, 2024
• First Posted: February 12, 2024
• Study Start: February 20, 2024
• Primary Completion: March 20, 2024
• Study Completion: March 30, 2024
• Last Updated: April 15, 2024

Record last verified: 2024-04

Locations

TU (1)