Local pain during the administration of intravenous paracetamol with acetic acid as excipient
Section: Originals
How to quote
Cerezuela-Font X, Pujol-Solà M, Guitart-Bruñol E, Fontova-Almató A, Bossacoma-Busquets F. Dolor local durante la administración de paracetamol endovenoso que tiene como excipiente ácido acético. Metas Enferm jun 2023; 26(5):7-13. Doi: https://doi.org/10.35667/MetasEnf.2023.26.1003082106
Authors
Xavier Cerezuela-Font1, María Pujol-Solà1, Ester Guitart-Bruñol1, Aurora Fontova-Almató2,Ferrán Bossacoma-Busquets3
Position
1Grado en Enfermería. Área Quirúrgica. Hospital de Figueres. Fundació Salut Empordà. Girona (España)2Doctora por la Universidad de Girona. Grado en Enfermería. Servicio de Urgencias. Hospital de Figueres. Fundació Salut Empordà. Girona (España)3Licenciado en Farmacia. Especialista via FIR. Servicio de Farmacia. Hospital de Figueres. Fundació Salut Empordà. Girona (España)
Contact address
Xavier Cerezuela Font. Hospital de Figueres. Fundació Salut Empordà. Ronda rector Arolas, s/n. 17600 Figueres, Girona (España).
Contact email: xcerezuela@salutemporda.cat
Abstract
Objective: to evaluate the presence of local pain during the intravenous administration of paracetamol with acetic acid compared with the administration of paracetamol without acetic acid in patients undergoing a procedure in the surgical unit.
Methods: a double-blind randomized controlled clinical trial was conducted on two groups. All patients of age who underwent a procedure in the surgical unit of the Fundació Salut Empordà (Girona, Spain) from August to November 2020 and who needed the administration of intravenous paracetamol were included in the study. Sixty (60) patients were required per group (paracetamol with acetate vs. paracetamol without acetate). Sociodemographic variables were collected, as well as those related to the venous catheter, treatment, presence and time of pain, pain assessment according to the verbal numerical scale (from 0=no pain to 10=the worst pain imaginable). Descriptive and bivariate analysis. Comparison between arms according to the assigned protocol.
Results: sixty (60) patients were included in each arm. Their mean age was 56.6 years (SD =15.6), and 56.7% were male. Arms were homogeneous and comparable at baseline. The presence of pain was detected in 48.3% (n= 29) of patients in the group receiving infusion of paracetamol with acetic acid, while there were no cases of pain in the group without acetate (p< 0.001).
Conclusions: statistically significant differences were observed between the group of patients undergoing procedures in the surgical unit who were administered paracetamol without acetic acid, who did not present pain, vs. the group receiving paracetamol with acetic acid, where pain was present in almost half of the patients.
Keywords:
Acetaminophen; Acetic Acid; pain; nurses; nursing care
Versión en Español
Título:
Artículo completo no disponible en este idioma / Full article is not available in this language
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