International Journal of Medical Sciences


This study evaluated the efficacy of the valsalva maneuver that can induce baroreceptor activation and nociception, on needle projection pain and hemodynamic responses associated with spinal puncture. Ninety adults, ASA physical status I and II undergoing elective surgeries were included. Patients were randomized into three equal groups. Group I (C): control; Group II (B): ball; pressed a rubber ball (attention-diverting method); Group III (V): valsalva; blew into sphygmomanometer tubing and hold the mercury column up to 30 mm Hg for a period of at least 20s. Spinal needle projection pain was graded using numeric rating scale (NRS): 1–10, where scales of 1–3 were rated as mild, 4–6 as moderate, and > 6 as severe. Blood pressure and heart rate, five minutes before the procedure, during the spinal puncture and first and third minutes after that, were also recorded. Significant reduction in NRS was observed in the valsalva group compared with the control and the ball groups (p=0.001). There were statistical but no significant clinical differences in mean arterial blood pressure and heart rates between the study groups (P=0.008 and P=0.016 respectively). In conclusion valsalva maneuver can decrease the skin puncture pain associated with spinal needle projection while observing hemodynamic changes.

برای دسترسی به متن کامل این مقاله و 6 میلیون مقاله دیگر در ویراساینس مشترک شوید. ثبت اشتراک کمتر از یک دقیقه زمان می برد.

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید


Similar resources

The first International Congress of NLRCS, “Nutrition, from the Laboratory to Clinical Studies” was held on 6th - 8th September 2017, located in Mashhad University of Medical Sciences International Conference Center and was hosted by Mashhad University of Medical Sciences. The purpose of the congress was to bring together cellular and molecular researchers, nutritionists, physicians, experts i...

1Gastrointestinal and Liver Disease Research Center, Iran University of Medical Sciences, 2Department of Epidemiology, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 3Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 4Department of Toxicology and Emergency Medicine, Imam Hossein Hospital, Faculty of Medicine, Shahid Beh...

<strong>Introduction:</strong> Medical tourism is a rapidly growing industry that has provided special opportunities to gain competitive advantage over international health organizations. This study aimed to investigate the quality requirements based on Joint Commission International (JCI) for medical tourism in selected hospitals of Tehran University of Medical Sciences. <br/><strong>Methods:...

× خانه ژورنال ها ثبت نام ورود