Humeral artery gasometry (HAG) versus radial artery gasometry (RAG): pain level, effects
Section: Hands on
How to quote
Ruiz Fernández JC et al. Gasometría Arterial Humeral (GAH) frente a Gasometría Arterial Radial (GAR): dolor y efectos indeseables. Metas de Enferm sep 2010; 13(7): 22-27
Authors
1Juan Carlos Ruiz Fernández, 2Teresa Mora Peñuelas, 3María Rosa Calvo La Parra, 4Begoña Fernández Valverde, 5María Sagrario Arribas Rodrigo, 5Eliseo Molina Melero
Position
1Enfermero del Centro de Salud de Carrascosa del Campo, Cuenca.2Enfermera del Servicio de Laboratorio.3Enfermera del Servicio de de Urgencias del Hospital General “Virgen de la Luz” de Cuenca.4Enfermera. Hospital Virgen de la Luz, Cuenca.5Enfermera del Servicio de Medicina Interna del Hospital General “Virgen de la Luz” de Cuenca.
Contact address
Juan Carlos Ruiz FernándezC/ Río Cabriel, 24. 16004 Cuenca.
Contact email: ejyam27@gmail.com
Abstract
Material and methods: controlled, randomised experimental study (clinical trial). Systematic probabilistic sampling of patients recruited from the Internal Medicine, Emergency and Clinical Analyses services who required arterial gasometry (AG). The 0-10 Visual Analogue Scale (VAS 0-10) has been used to measure pain and a protocol for the operativization and collection of other variables (hematoma, residual pain on palpation, puncture of adjacent nerve, local inflammation, arterial thrombosis, arterial spasm, puncture site and analgesic, anti-anxiety pharmacotherapy).
Results: 112 RAG and 116 HAG were performed (n = 228). The mean perception of pain was 4,11 + 2,04 in the RAG group and 2,38 + 2,01
(p < 0,001) in the HAG group (p < 0,001). The mean perception of pain was significantly greater in patients who received anti-anxiety drug treatment (p < 0,001). The mean perception of pain was 3,46 + 2,28 in men and 2,88 + 2,15 in women (p = 0,052). There were no significant differences in the percentage of failures (failed arterial punctures). Undesirable effects: hematoma at day 3: 24,1% in RAG and 13,8% in HAG (p = 0,047). Other variables yielded no significant differences or no cases have been presented.
Conclusions: HAG is less painful and has less undesirable effects than RAG, failures are similar in both techniques.
Keywords:
clinical trial; humeral artery gasometry; pain; Radial artery gasometryundesirable effects
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