The Effect Of Cannula Material On The Pain Of Peripheral Intravenous Cannulation In The ED: A Prospective, Randomized Controlled Study

Murat Özsaraç; Meral Dolek; Münevver Sarsılmaz; Mustafa Sever; Serkan Sener; Selahattin Kiyan; Aslihan Yürüktümen; Gülbin Yılmaz

doi:10.5505/1304.7361.2012.47855

Murat Özsaraç¹, Meral Dolek², Münevver Sarsılmaz¹, Mustafa Sever³, Serkan Sener⁴, Selahattin Kiyan¹, Aslihan Yürüktümen⁵, Gülbin Yılmaz¹

¹Department Of Emergency Medicine, Ege University Hospital, Izmir
²Department Of Emergency Medicine, Medical Park Izmir University Hospital, Izmir
³Department Of Emergency Medicine, Izmir Tepecik Training And Research Hospital
⁴Department Of Emergency Medicine, Acıbadem University, Istanbul
5Department Of Emergency Medicine, Akdeniz University Hospital, Antalya

Keywords: analgesia, cannulation, pain, pain measurement, emergency medicine

Abstract

Objective: Insertion of Intravenous Cannulas (IV) is probably the most commonly performed invasive medical procedure in the emergency department (ED). It is reported that material of catheteter polyetherurethane (PEU) is thermoplastic, flexible and more hydrophilic, and it has a smoother microsurface than Teflon. The present study was undertaken to compare the pain of peripheral IV cannulation (IVC) between 20-G peripheral biomaterial PEU-Vialon cannula and 20-G compound FEP-Teflon cannula widely used in clinical practice. Methods: A prospective, randomized, single-blinded, controlled trial was undertaken at the ED of university Hospital. Eighty-nine convenience noncritically ill adult patients who were receiving an IV line as part of their care were enrolled. In each case cannulas were applicated on antecubital area. Participants rated their pain on a visual analog scale (VAS). The primary outcome was patients pain score, and the secondary outcome was perception of provider’s safety and satisfaction. The groups did not differ in age, gender or cannulation indication. Mean VAS was 2.80 for PEU and 3.56 for FEP (p=0.061). Mean provider safety scores were 4.84 (4 to 5) in PEU group and 4.00 (2 to 5) in FEP group (p=0.000). Mean provider satisfaction of application scores were 4.65 in PEU group and 4.56 in FEP group (P>0.05).
Conclusions: Althogh provider safety perception is high, perception of pain has not reduced when inserting PEU-Vialon cannula compared with compound of FEP.