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Ethyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children.

Mary Costello1, Maria Ramundo, Norman C Christopher

  • 1Department of Pediatrics, Northeastern Ohio Universities College of Medicine, Rootstown, OH, USA.

Clinical Pediatrics
|August 25, 2006
PubMed
Summary
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Ethyl vinyl chloride vapocoolant spray did not reduce pain during intravenous cannulation in children. Pain scores were similar compared to isopropyl alcohol spray or no spray.

Area of Science:

  • Pediatric Emergency Medicine
  • Pain Management
  • Anesthesiology

Background:

  • Intravenous cannulation is a common procedure in pediatric emergency departments.
  • Effective pain management during this procedure is crucial for patient comfort and cooperation.
  • Vapocoolant sprays are used to provide localized cooling and reduce pain perception.

Purpose of the Study:

  • To evaluate the efficacy of ethyl vinyl chloride vapocoolant spray in alleviating pain during intravenous cannulation in children.
  • To compare the pain reduction effects of ethyl vinyl chloride spray against a placebo (isopropyl alcohol spray) and a control group (no spray).

Main Methods:

  • A randomized, double-blinded, placebo-controlled trial was conducted.
  • 127 children aged 9-18 years undergoing intravenous cannulation were enrolled.

Related Experiment Videos

  • Participants were randomized to receive ethyl vinyl chloride spray, isopropyl alcohol spray, or no spray.
  • Pain was assessed using a 100-mm visual analog scale (VAS).

    • Main Results:

    • Mean VAS pain scores were 34 for ethyl vinyl chloride spray, 33 for isopropyl alcohol spray, and 31 for the control group.
    • Ethyl vinyl chloride spray did not demonstrate a significant reduction in pain compared to the placebo or control group.
    • No measurable difference in pain was observed between the intervention and control groups.

    Conclusions:

    • Ethyl vinyl chloride vapocoolant spray is not effective in reducing pain associated with intravenous cannulation in pediatric patients.
    • Current evidence does not support the use of ethyl vinyl chloride spray for pain management during this procedure.
    • Further research may explore alternative pain relief methods for pediatric intravenous cannulation.