A Needle-Free Injection System (INJEXTM) with lidocaine for epidural needle insertion: A randomized controlled trial. | [Pakistan Journal of Medical Research • 2016]

Author(s):

1. Muhammet Gozdemir: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

2. Ruveyda Irem Demircioglu: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

3. Safinaz Karabayirli: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

4. Huseyin Sert: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

5. Bunyamin Muslu: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

6. Burhanettin Usta: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

7. Ummugulsum Yazici: Department of Anesthesiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey

Abstract:

Objectives: Local anesthetic infiltration is also a process of a painful process itself. INJEXTM technology, known as “Needle-free” drug delivery system, was designed for reducing the pain associated with cutaneous procedures. We conducted a prospective, randomized trial to evaluate the application of lidocaine with INJEXTM system and 27-gauge needle. Methods: A total of 60 consecutive patients were allocated to receive either INJEX group or 27-gauge needle group. Local anesthetic infiltration was applied two minutes before epidural needle insertion. Results: Mean VAS, at the time of local anesthetic injection was 0 for group I and 2 for group II. When the effect of epidural needle insertion was compared, the mean VAS score was one versus two for Group-I versus Group-II, respectively. Lidocaine applied with the INJEXTM system before epidural needle insertion significantly reduced the intensity of pain during that procedure and was least effective the lidocaine applied with the 27-gauge needle and patients felt less pain during at the time of local anesthetic injection in Group-I. Conclusion: Needle-free delivery of lidocaine is an effective, easy to-use and noninvasive method of providing local anesthesia for the epidural needle insertion.

Page(s): 756-761

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Research, Volume: 55, Issue: 3, Year: 2016

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