THE CLINICAL APPLICATION OF THE SURFACE
ANESTHESIA IN THE PEDIATRIC INTRAVENOUS INJECTION
Wu Min, Cong Min, Yin Yan
Shenzhen Children��s Hospital, Guangdong, China
Objectives:
To alleviate the agony coursed by intravenous injection (IV), the surface
anesthesia (SA) was used before IV. In order to understand the perceive of
children who suffering from IV and their parents for the using of SA.
Methods:
40 children with indolence IV enrolled in the study including. 105 IV
injection during Nov. 1999 to Dec. 2000. The preparation of local surface
anesthesia EMLA was used before IV puncture. The effects of surface
anesthesia were observed in different age groups by means of brief pain
questionnaire (BPQ). The degrees of pain were judged by Wong-Banker`s method
which divided into 4 degrees: ��O�� no pain, ��I�� light pain, ��II�� pain and
��III�� evident pain.
Results:
There were remarkable effects to release the pain or stress resulting from
IV puncture in all age groups (p>0.05). The effect of anti-pain was
started from 15` and prolonged to 90��, (p>0.05). And the best effect of
pain release was on the 60�� to 90�� (p<0.001). The validity rate was 77%,
lasting to 2 to 2.5 hrs.
Conclusion:
SA is effective to release the pain of IV puncture of children in different
ages and capable of attaining the best effection by 60-90 mins, to ease the
pain caused by injecting with stimulent drugs. Most patints or their
parents are willing to and request to continue to use EMLA to ease pain.
The research shows that SA is practical, convenient, uninjured and easy to
use. It is also accepted by society and worthy of clinical application and
extending. Using of SA as an aspect of technology development in nursing
can fit in the change of nursing modle and meet the demand of life in high quality
by people. It is significative to implement the whole physiological,
psychological and social nursing care and build modern and civil image of
the hospital.