Friday, April 26, 2019
Analysis Research Paper Example | Topics and Well Written Essays - 1000 words
epitome - Research Paper ExampleBut the use of buffered lidocaine faces some issues as it is a compounded medical specialty and needs to be procured from the pharmacy and with its short half-life the FDA requires this solution to be replaced weekly which has been adopted in time for this ease up understand. In the case of bacteriostatic normal saline, the presence of benzyl alcohol as a preservative and an anesthetic has been proposed as a suitable alternative for intradermal lidocaine. Other local anesthetics such(prenominal)(prenominal) as the topical lidocaine-prilocaine suffer from certain disadvantages as it is inappropriate for use on the day of the surgery, is non economical and needs to be applied 30 minutes prior to starting the IV for outmatch results. The workout of using intradermal bacteriostatic saline instead of intradermal buffered lidocaine as the former was hail effective was adopted by a Midwestern community hospital as a annoyance management strategy dur ing surgeries. However, the concern of the nurses in the hospital has been the lesser number of comparative studies that have placed efficacy of the 2 anesthetics. Additionally they have provided inconclusive evidence about the use of either intradermal lidocaine or bacteriostatic saline as an effective anesthetic prior to IV injection. then the present study aimed to determine the efficacy of the two anesthetics in order to bring about a practice change. ... However, previous studies have been inconclusive in comparing the effectiveness of the two anesthetics intradermal lidocaine and bacteriostatic saline. Hence the present study was designed to compare the efficacy and determine the degree of pain using the two anesthetics and a randomized double-blind quasi-experiment, and two-treatment, parallel designed study was conducted. The study was started after approval by the institutional re berth board. Both male and female same-day surgery patients in the age group of 18 to 80 we re invited to take part in the study. The inclusion criteria were the presence of a physicians order for a peripheral IV line and an ability to express the level of pain experienced. The sample size of the study included 150 adults who were admitted for same-day surgery between the months February and May. Two subjects required more than one venipuncture and in view of inaccurate reporting of the pain they were excluded from the study and others who were excluded include subjects allergic to lidocaine and others who had to take pain medication in the previous four hours. The degree of pain experienced by the subjects was measured using a special verbal numeric rating photographic plate (VNRS) in which the pain was recorded on a scale of 0 to 10. Buffered lidocaine for the study was prepared by a pharmacist using lidocaine and sodium bicarbonate and commercially available bacteriostatic saline was used. All the study subjects were blinded to the study solution and the basic demogra phics such as age, sex, race, IV location and catheter size were collected. The study protocol was explained to both the study participants and nurses who were responsible for the catheterization and communicate consent was obtained from the participants.
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