1 389

Cited 26 times in

Analgesic pretreatment for antibiotic skin test: vapocoolant spray vs ice cube

Authors
 Woo Yong Yoon  ;  Sung Pil Chung  ;  Hahn Shick Lee  ;  Yoo Seok Park 
Citation
 AMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.26(1) : 59-61, 2008 
Journal Title
 AMERICAN JOURNAL OF EMERGENCY MEDICINE 
ISSN
 0735-6757 
Issue Date
2008
MeSH
Adult ; Anesthetics, Local/administration & dosage* ; Cross-Over Studies ; Cryoanesthesia/methods* ; Emergency Service, Hospital ; Ethyl Chloride/administration & dosage* ; Female ; Humans ; Ice* ; Intradermal Tests* ; Male ; Middle Aged ; Pain/prevention & control* ; Skin Temperature
Keywords
Adult ; Anesthetics, Local/administration & dosage* ; Cross-Over Studies ; Cryoanesthesia/methods* ; Emergency Service, Hospital ; Ethyl Chloride/administration & dosage* ; Female ; Humans ; Ice* ; Intradermal Tests* ; Male ; Middle Aged ; Pain/prevention & control* ; Skin Temperature
Abstract
OBJECTIVES: The objective of this study was to compare the efficacy of ethyl chloride spray and ice cube for the control of pain induced by the antibiotic skin test. METHODS: We performed a prospective, crossover, randomized study in which healthy adult volunteers received an intradermal skin test on both arms after different analgesic pretreatments. We assessed the pretreatment pain and discomfort after the intradermal skin injection using a 100-mm visual analogue scale. RESULTS: A total of 50 volunteers were enrolled in the study. The mean pain scores after the skin test were 32.4 +/- 17.6 and 54.7 +/- 22.4 mm, for the ice cube and vapocoolant spray pretreatment, respectively (P < .0001). The mean discomfort scores during pretreatment were 20.0 +/- 15.2 mm for ice cube and 10.5 +/- 11.5 mm for vapocoolant spray (P < .0001). Forty-five (90%) subjects preferred the ice cube pretreatment for the intradermal skin test. CONCLUSIONS: The ice cube application was significantly more effective than the vapocoolant spray in reducing the pain of the antibiotic skin test. Hence, the ice cube pretreatment is suggested for easy and fast pain reduction for the antibiotic skin test in the emergency department.
Full Text
http://www.sciencedirect.com/science/article/pii/S0735675707004469
DOI
10.1016/j.ajem.2007.06.022
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Lee, Hahn Shick(이한식)
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106603
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links