Please use this identifier to cite or link to this item:
https://wslhd.intersearch.com.au/wslhdjspui/handle/1/8978
Title: | Spiced RCT: Success and Pain Associated with Intravenous Cannulation in the Emergency Department Randomized Controlled Trial |
Authors: | Mitra, Tatum P.;Coulter-Nile, Sarah;Jegathees, Thuvarahan;Luong, Jason;Shetty, Amith;Lai, Kevin |
WSLHD Author: | Mitra, Tatum P.;Coulter-Nile, Sarah;Jegathees, Thuvarahan;Luong, Jason;Shetty, Amith;Lai, Kevin |
Issue Date: | 2024 |
Citation: | Journal of Emergency Medicine 66(2):57-63, 2024 |
Abstract: | BACKGROUND: Peripheral venous cannulation is one of the most common procedures in medicine. A larger cannula allows higher rates of fluid to be provided if needed in a deteriorating patient; however, it is also perceived that larger-gauge cannula placement is associated with increased pain and procedural difficulty. OBJECTIVE: This study aimed to compare the pain and procedural difficulty experienced during insertion between 18-gauge (18G) and 20-gauge (20G) cannulas. METHODS: We conducted a single-blinded, randomized controlled trial on adult patients who required peripheral IV cannulation within a tertiary hospital emergency department between April and October 2018. Patients were randomized to either the 18G or 20G cannula group. The primary outcomes of the study-pain experienced by patients and procedural difficulties experienced by clinical staff-were recorded on two separate 10-cm visual analog scales. Other outcomes include first-attempt success rate, operator designation, complications, and the intent and actual use of the IV cannula were documented on preformatted questionnaires. RESULTS: Data from 178 patients were included in the analysis. Eighty-nine patients were allocated to each cannula group. There were no statistically or clinically significant differences between mean pain score (0.23; 95% CI 0.56-1.02; p = 0.5662) and mean procedural difficulty score (0.12; 95% CI 0.66-0.93; p = 0.7396). between the two groups. There was no difference in first-attempt success rate (73 of 89 vs. 75 of 89; p = 0.1288), complications (2 of 89 vs. 1 of 89) between the 20G group and 18G group, respectively. CONCLUSIONS: There was no significant difference between the 18G or 20G cannula for either pain experienced by patients or procedural difficulty experienced by clinicians. |
URI: | https://wslhd.intersearch.com.au/wslhdjspui/handle/1/8978 |
DOI: | https://dx.doi.org/10.1016/j.jemermed.2023.10.008 |
Journal: | Journal of Emergency Medicine |
Type: | Journal Article |
Study or Trial: | Randomized Controlled Trial |
Department: | Emergency |
Facility: | Westmead |
Keywords: | Pain Catheterization, Peripheral Cannula Emergency Service, Hospital Pain Measurement |
Appears in Collections: | Westmead Hospital 2019 - 2024 |
Files in This Item:
There are no files associated with this item.
Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.