The Effect of Lidocaine and Benzocaine on Pain and Injection Satisfaction in Peripheral Intravenous Catheter Application

The Effect of Topical Lidocaine and Benzocaine on Pain and Injection Satisfaction in Peripheral Intravenous Catheter Applications

Objective: This research was conducted as a randomized controlled, double-blind experimental study to determine the effect of topical lidocaine and benzocaine on patient's pain and injection satisfaction before peripheral intravenous catheter application.

Study Design: The study was completed with 120 individuals who were treated in the green area of a University Hospital Emergency Service and met the inclusion criteria of the study. In collecting research data; Case Report Form (ORF), Baseline Algometer (66 Lb / 30 Kg) and Informed Consent Form were used. Lidocaine Spray, Benzocaine Spray and Alcohol were used in research groups.

Study Overview

• Status: Completed
• Conditions: Peripheral Intravenous Catheterization Application
• Intervention / Treatment: Drug: Lidocaine Spray; Drug: Benzokain Sprey; Other: Alcohol

Detailed Description

Objective: This research was conducted as a randomized controlled, double-blind experimental study to determine the effect of topical lidocaine and benzocaine on patient's pain and injection satisfaction before peripheral intravenous catheter application.

Study Design: The study was completed with 120 individuals who were treated in the green area of a University Hospital Emergency Service and met the inclusion criteria of the study. Ethics committee approval, Turkey Pharmaceuticals and Medical Devices Agency clinical research permission, institutional permission and written informed consent from individuals were obtained in the study. In collecting research data; Case Report Form (ORF), Baseline Algometer (66 Lb / 30 Kg) and Informed Consent Form were used. Lidocaine Spray, Benzocaine Spray and Alcohol were used in research groups. Private health insurance was provided for all patients included in the study for complications arising from the procedure. The data obtained from the research were evaluated in computer environment using IBM SPSS Statistics 23.0 statistics package program.

• Study Type: Interventional
• Enrollment (Actual): 120
• Phase: Phase 3

Contacts and Locations

Study Locations

• Turkey
  • Kayseri, Turkey, 38039
    • Erciyes University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Can speak and understand Turkish,
• Over the age of 18,
• Under the age of 65,
• Located in the green area of Erciyes University Emergency Service,
• Having orientation in place and time,
• Not using psychiatric medication due to any psychiatric illness,
• Not using central nervous system drugs,
• Does not have any known chronic disease,
• No vision or hearing problems,
• No signs of phlebitis, scar tissue, dermatitis, incision or infection in the area to be operated,
• Does not have pain anywhere on the body that will affect the result of the study and whose visual comparison scale pain score is zero at the time of application
• No experience of IV catheter application in the last month,
• Not taking analgesic in the last 24 hours,
• Intravenous drug treatment is ordered,
• With Baseline Algometer device, the average pressure pain threshold is 8-16 pounds (Lb),
• Individuals who volunteered to participate in the study and signed the written consent form were included in the study.

Exclusion Criteria:

• Not wanting to participate in the study,
• A history of sensitivity to the study drug or related drugs or any drug excipient,
• Having clinically significant vital signs,
• Stating that he / she is addicted to alcohol and drugs,
• Those who were incompetent or unwilling to comply with the study protocol or who stated that they experienced difficulties in the procedures related to the study (eg establishing vascular access before) were not included in the study.
• In patients who developed IV catheter complications (swelling of the vascular access, hematoma) during the study,
• In patients whose IV catheter insertion cannot be performed at the first time,
• The study was terminated in patients who wanted to leave the study anywhere in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experiment I Group (Lidocaine Spray); Lidocaine Spray was applied to Experiment I group before peripheral intravenous catheter application.	Drug: Lidocaine Spray; Individuals who met the research criteria and signed the informed consent form were numbered according to the order in which they came to the hospital. Later, the numbered individuals were assigned to the study groups according to the randomization list created in the computer environment. Lidocaine Spray was applied 60 seconds before to the area where the peripheral intravenous catheter application of the patients in the Experiment I Group (Lidocaine Spray) will be performed. After waiting 60 seconds, peripheral intravenous catheter application was performed. The nurse responsible for data collection measured blood pressure, pulse rate and peripheral oxygen saturation values 5 minutes before and just after the application with a finger-type pulse oximeter. After performing peripheral intravenous catheterization, the pain level felt by the individual during the procedure and the injection satisfaction level values were taken and recorded on the Case Report Form by the nurse.
Experimental: Experiment II Group (Benzokain Sprey); Benzokain Sprey was applied to Experiment II group before peripheral intravenous catheter application.	Drug: Benzokain Sprey; Individuals who met the research criteria and signed the informed consent form were numbered according to the order in which they came to the hospital. Later, the numbered individuals were assigned to the study groups according to the randomization list created in the computer environment. Benzocaine Spray was applied 60 seconds before to the area where the peripheral intravenous catheter will be applied to the patients in the Experiment II Group (Benzocaine Spray). After waiting 60 seconds, peripheral intravenous catheter application was performed. The nurse responsible for data collection measured blood pressure, pulse rate and peripheral oxygen saturation values 5 minutes before and just after the application with a finger-type pulse oximeter. After performing peripheral intravenous catheterization, the pain level felt by the individual during the procedure and the injection satisfaction level values were taken and recorded on the Case Report Form by the nurse.
Placebo Comparator: Placebo Group; Alcohol was administered to the placebo group prior to peripheral intravenous catheter application.	Other: Alcohol; Individuals who met the research criteria and signed the informed consent form were numbered according to the order in which they came to the hospital. Later, the numbered individuals were assigned to the study groups according to the randomization list created in the computer environment. In patients in the placebo group, alcohol was sprayed 60 seconds before the area where the peripheral intravenous catheter will be applied. After waiting 60 seconds, peripheral intravenous catheter application was performed. The nurse responsible for data collection measured blood pressure, pulse rate and peripheral oxygen saturation values 5 minutes before and just after the application with a finger-type pulse oximeter. After performing peripheral intravenous catheterization, the pain level felt by the individual during the procedure and the injection satisfaction level values were taken and recorded on the Case Report Form by the nurse.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain level (Visual Analog Scale)	Visual Analog Scale is a scale used to measure the severity of pain. It is used to numerically convert the pain value that cannot be measured numerically. The two end definitions of the pain parameter are written on both ends of a 100 mm line and the patient is asked to indicate where his condition is appropriate by drawing a line, placing a dot or marking on this line. It is a 100 mm (10 cm) ruler that can be used horizontally and vertically, with painlessness on one end and the most severe pain on the other. "0 mm" means painlessness, "100 mm" means the most severe pain. The individual indicates the severity of the pain he feels on this scale. In line with these data, horizontally prepared Visual Analog Scale was used in this study to determine the severity of pain felt by patients during peripheral IV catheter injection. Pain severity score measurements were evaluated in mm.	Evaluation was made immediately after application.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Injection Satisfaction Scale	It is a scale created to determine the satisfaction status of patients due to injection after peripheral IV catheter injection. The two tip definitions of the injection satisfaction parameter are written on both ends of a 100 mm line and the patient is asked to indicate where his condition is appropriate by drawing a line, point or mark on this line. It is a 100 mm (10 cm) ruler that can be used horizontally and vertically, with one end saying "I'm not satisfied at all, but very satisfied" on the other. "0mm" means not satisfied at all, "100mm" means very satisfied. The individual determines the degree of satisfaction with the injection felt on this scale. In line with the above findings, horizontally prepared Injection Satisfaction Scale was used in this study to determine the injection satisfaction levels of patients due to peripheral intravenous catheter injection application. Injection satisfaction levels score measurements were evaluated in mm.	Evaluation was made immediately after application.

Collaborators and Investigators

• Sponsor: TC Erciyes University

Study record dates

Study Major Dates

• Study Start (Actual): March 4, 2020
• Primary Completion (Actual): July 7, 2020
• Study Completion (Actual): October 20, 2020

Study Registration Dates

• First Submitted: April 20, 2021
• First Submitted That Met QC Criteria: April 21, 2021
• First Posted (Actual): April 26, 2021

Study Record Updates

• Last Update Posted (Actual): April 26, 2021
• Last Update Submitted That Met QC Criteria: April 21, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Keywords: pain; lidocaine; benzocaine; Peripheral intravenous catheterization; injection satisfaction; pharmacological method
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Molecular Mechanisms of Pharmacological Action; Anti-Arrhythmia Agents; Central Nervous System Depressants; Peripheral Nervous System Agents; Sensory System Agents; Anesthetics; Membrane Transport Modulators; Anesthetics, Local; Voltage-Gated Sodium Channel Blockers; Sodium Channel Blockers; Lidocaine
• Other Study ID Numbers: Ali KAPLAN Erciyes University

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No