Abstract:
Background: AIMS: The aim of this study was to examine the effects of the Valsalva maneuver during peripheral intravenous catheter (PIVC) insertion on procedure-related pain.
Design: This work was a prospective randomized controlled study.
Settings: Study was conducted in the orthopedics clinic of a university hospital.
Participants/subjects: METHODS: The sample of patients (N = 110) was allocated to the Valsalva maneuver group (n = 55) and control group (n = 55) by using blocked randomization to reduce bias and achieve balance according to age and gender. Pain was evaluated by using Numerical Rating Scale. Systolic/diastolic blood pressure and heart rate before and after the PIVC placement was recorded.
Results: The patients in the intervention group had less severe pain during the PIVC insertion than the patients in the control group (p ˂ .001). After PIVC placement, systolic blood pressure was significantly reduced in both groups (p = .008), no other variables changed significantly. No clinical complication related to the Valsalva maneuver occurred in the intervention group.
Conclusion: Valsalva maneuver can be used as a non-pharmacologic method to reduce pain during PIVC placement.
Reference:
Alan N, Khorshid L. Evaluation of Efficacy of Valsalva Maneuver During Peripheral Intravenous Cannulation on Pain. Pain Manag Nurs. 2021 Mar 9:S1524-9042(21)00028-X. doi: 10.1016/j.pmn.2021.01.013. Epub ahead of print. PMID: 33712356.