Buffered lidocaine's effect on procedure complications, pain, movement, site outcome, and satisfaction with sheath removal in interventional cardiology patients

dc.contributor.authorVish, Nancy Ann
dc.contributor.committeeChairBeard, Margaret
dc.contributor.committeeMemberMcGadney, Jeanette
dc.contributor.committeeMemberMarshall, April
dc.date.accessioned2019-10-08T16:26:24Z
dc.date.available2019-10-08T16:26:24Z
dc.date.issued2001-12
dc.description.abstractArterial and venous sheath removal is primarily performed by trained registered nurses in interventional cardiology units across the United States. A standard of care for pain management for this procedure has not been developed. Buffered lidocaine is infiltrated into the tissues in the cath lab prior to sheath insertion; however, many nursing units do not use this method of analgesia with the removal of sheaths. The purpose of this study was to determine the effects of buffered lidocaine on procedural complications, pain, movement, site outcome, and patient satisfaction. Interventional cardiology patients were randomized by an investigational pharmacist into one of four groups: buffered lidocaine injection, lidocaine injection, saline injection, or no injection. The injections were blinded to the researcher and research associates by the investigational pharmacist. The subcutaneous injections were performed by research associates who pulled the arterial sheaths. Patients were observed for procedural complications, level of pain, movement, site complications, and questioned on level of satisfaction. Intravenous analgesics received with the procedure were recorded as potential covariates. Data analysis was achieved with multiple analyses of variance. No significant difference was found between the four groups in procedure complications, pain, site complications, movement, and satisfaction.en_US
dc.identifier.urihttps://hdl.handle.net/11274/11874
dc.language.isoen_USen_US
dc.subjectHealth and environmental sciencesen_US
dc.subjectBuffereden_US
dc.subjectCardiologyen_US
dc.subjectLidocaineen_US
dc.subjectPainen_US
dc.subjectProcedure complicationsen_US
dc.subjectSheath removalen_US
dc.titleBuffered lidocaine's effect on procedure complications, pain, movement, site outcome, and satisfaction with sheath removal in interventional cardiology patientsen_US
dc.typeDissertationen_US
thesis.degree.collegeCollege of Nursingen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorTexas Woman's Universityen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophyen_US

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