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This study evaluate topical anaesthesia application for 30 minutes before tranradial catheterization during cardiac catheterization can reduce pain and decrease radial artery spasm
The incidence of Radial artery spasm (RAS) has varied from 5-30% RAS refers to friction between the artery and wires or guide catheters accompanied by a subjective feeling of pain.
EMLA anesthetic ointment (AO-Astra Zeneca) is an emulsion of lidocaine 2.5% and prilocaine 2.5% in a ratio of 1:1 by weight Previous study showed that EMLA cream can increase the success rate of femoral cannulation in children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional | Active Comparator | EMLA group layer of 2.5 gr EMLA cream (standard adult dose) was applied to both wrists |
|
| Placebo | Placebo Comparator | Placebo cream was applied to both wrists |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Topical Anesthetic | Drug | EMLA Cream 2.5 gr applied to both wrists |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Radial pain assessed during artery puncture | Record pain by visual analog score sub-scale 0(no pain)-10(max pain) | 30 min |
| Measure | Description | Time Frame |
|---|---|---|
| Radial pain assessed 30 min after sheath removal | Record pain by visual analog score | 4 hr post procedure |
| Number of puncture attempts | Number of puncture attempts |
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Inclusion Criteria:
Exclusion Criteria:
Previous ipsilateral transradial approach Raynaud's syndrome ESRD History of sensitivity to local anesthetics Non-palpable redial pulse Abnormal Barbeau's test Local site infection Patient's refusal
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anuwat Rintaravitoon | Contact | +66869920022 | Rintaravitoon@hotmail.com | |
| Nakarin Sansanatudh | Contact | +666444755 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Internal Medicine | Recruiting | Bangkok | 10400 | Thailand |
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| ID | Term |
|---|---|
| D000779 | Anesthetics, Local |
| ID | Term |
|---|---|
| D000777 | Anesthetics |
| D002492 | Central Nervous System Depressants |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
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| Placebo |
| Drug |
Placebo Cream 2.5gr applied to both wrist |
|
| imediate post procedure |
| Occurrence of radial artery spasm | NuNumber of radial artery spasm | during and post procedure up to 1 years |
| D020164 | Chemical Actions and Uses |
| D018689 | Sensory System Agents |
| D018373 | Peripheral Nervous System Agents |
| D002491 | Central Nervous System Agents |
| D045506 | Therapeutic Uses |