Eficacia de las amidas infiltradas como anestésico local en la punción arterial para gasometría: una revisión sistemática

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2024-10-18 DOI:10.1016/j.enfi.2024.06.004

Itxaso Nieves-Cámara RN , Sendoa Ballesteros-Peña RN, MPH, PhD

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Abstract

Aim

To assess the efficacy of infiltrated amides in reducing pain caused by arterial puncture for blood gas analysis.

Method

A search protocol was developed and applied across four databases (Medline, SCOPUS, Embase, and TRIP Database). Clinical trials published between January 2000 and May 2024, in either Spanish or English, were considered. Clinical trials comparing the analgesic efficacy of infiltrated amides in adult patients undergoing arterial puncture were selected.

Results

Five randomized clinical trials were selected, with sample sizes ranging from 10 to 133 adult patients per randomization group. The studies showed mixed results regarding the efficacy of infiltrated amides in reducing pain associated with arterial puncture. Two studies highlighted mepivacaine for its pain reduction efficacy, while the other three demonstrated variable efficacy of lidocaine.

Conclusions

The efficacy of infiltrated amides as local anesthetics in arterial puncture for blood gas analysis varies. Mepivacaine appears promising; however, further studies are needed to establish clear recommendations. It is crucial to consider patient preferences and professional experience when deciding on the use of these anesthetics.

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阿米胺作为局部麻醉剂在动脉穿刺中用于气测的有效性：系统综述

目的探讨浸润酰胺对动脉穿刺血气分析疼痛的缓解作用。方法开发检索协议，并在Medline、SCOPUS、Embase和TRIP数据库中应用。2000年1月至2024年5月期间以西班牙语或英语发表的临床试验被纳入考虑范围。选择临床试验，比较浸润酰胺在成人动脉穿刺患者中的镇痛效果。结果随机选择5项临床试验，每个随机组的样本量为10 ~ 133例成人患者。研究显示浸润性酰胺在减轻动脉穿刺疼痛方面的疗效好坏参半。两项研究强调了甲哌卡因的镇痛效果，而另外三项研究表明利多卡因的疗效不同。结论浸润酰胺作为局麻药在动脉穿刺血气分析中的应用效果不同。甲哌卡因看起来很有希望；然而，需要进一步的研究来确定明确的建议。在决定使用这些麻醉剂时，考虑患者的偏好和专业经验是至关重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.