tailieunhanh - Báo cáo y học: " Efficacy of the Valsalva Maneuver on Needle Projection Pain and Hemodynamic Responses During Spinal Puncture"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Efficacy of the Valsalva Maneuver on Needle Projection Pain and Hemodynamic Responses During Spinal Puncture. | Int. J. Med. Sci. 2011 8 156 International Journal of Medical Sciences 2011 8 2 156-160 Ivyspring International Publisher. All rights reserved. Research Paper Efficacy of the Valsalva Maneuver on Needle Projection Pain and Hemodynamic Responses During Spinal Puncture Sussan Soltani Mohammadi Amin Ghasemi Pajand Gita Shoeibi x Department of Anesthesiology Tehran University of Medical Sciences Dr Shariati Hospital TEHRAN IRAN H Corresponding author Gita Shoeibi . Department of Anesthesiology Dr Shariati Hospital North Kargar Street Ale-Ahmad HighWay Tehran 1411713135 IRAN. Tel 98-912-1226683 Cell Fax 98-21-88633039 Hospital E-mail soltanmo@ Received Accepted Published Abstract This study evaluated the efficacy of the valsalva maneuver that can induce baroreceptor activation and nociception on needle projection pain and hemodynamic responses associated with spinal puncture. Ninety adults ASA physical status I and II undergoing elective surgeries were included. Patients were randomized into three equal groups. Group I C control Group II B ball pressed a rubber ball attention-diverting method Group III V valsalva blew into sphygmomanometer tubing and hold the mercury column up to 30 mm Hg for a period of at least 20s. Spinal needle projection pain was graded using numeric rating scale NRS 1-10 where scales of 1-3 were rated as mild 4-6 as moderate and 6 as severe. Blood pressure and heart rate five minutes before the procedure during the spinal puncture and first and third minutes after that were also recorded. Significant reduction in NRS was observed in the valsalva group compared with the control and the ball groups p . There were statistical but no significant clinical differences in mean arterial blood pressure and heart rates between the study groups P and P respectively . In conclusion valsalva maneuver can decrease the skin puncture pain associated with spinal needle projection while observing