scholarly journals Assessment of Pain Perception in Paediatric Patients on Application of Cooled and Uncooled Topical Anaesthetic Gel before Infiltration Anaesthesia - A Pilot Study

2021 ◽  
Vol 10 (23) ◽  
pp. 1751-1755
Author(s):  
Prathyusha P ◽  
Amith Adyanthaya ◽  
Marium Raheema ◽  
Swetha S. Nair ◽  
Aparna Sivaraman ◽  
...  
Keyword(s):  
Pulse Oximeter ◽  
Local Anaesthesia ◽  
Pain Perception ◽  
Rating Scale ◽  
Injection Pain ◽  
Pain Rating ◽  
Topical Anaesthetic ◽  
Paediatric Patients ◽  
Dental Procedures ◽  
Pain Rating Scale

BACKGROUND Topical anaesthesia is fundamental in enhancing pain control during the process of dental injections. The study compared the effect of cooled and uncooled topical anaesthetic gel before infiltration anaesthesia in assessing pain perception in paediatric patients undergoing dental treatment procedures. METHODS This is a split-mouth study where 16 children aged between 8 and 10 years who required bilateral local anaesthesia administration for various dental procedures were selected. Before infiltration anaesthesia, topical anaesthetic gel cooled to 40 C was applied on one side in the first visit followed by application of uncooled gel on the contralateral side in the subsequent visit. The patients were asked to individually rate their pain experience on each side using the Wong-Baker Faces Pain Rating Scale (WB-FPRS). Anxiety was assessed using pulse oximeter and FLACC scale (face, legs, activity, cry, and consolability). Data was analysed statistically using the paired ‘t’-test and a P value less than or equal to 0.05 was considered as statistically significant. RESULTS Patients reported less pain on Wong-Baker Faces Pain Rating Scale by using cooled topical anaesthetic gel. Discomfort and anxiety levels were also seen to be low when assessed using pulse oximeter and FLACC Scale for the same group (P < 0.05). CONCLUSIONS Cooling the soft tissue site with anaesthetic gel helped reduce pain perception during infiltration in children and was seen to be a more feasible technique. Hence this technique can be used as a successful adjunct to the local anaesthesia administration prior to dental procedures. KEY WORDS Anaesthesia, Cooling, Topical Gel, Injection, Pain

A comparative study on effectiveness of mucosal vibration and topical anaesthetic gel in reducing pain during administration of local anaesthetic in paediatric patients.

2021 ◽  
Vol 13 ◽  
pp. 32-41
Author(s):  
Nameeda K S ◽  
Fathimath Nihala K ◽  
Anagha Saseendran ◽  
Priya Nagar ◽  
Pallavi Urs
Keyword(s):  
Comparative Study ◽  
Local Anaesthetic ◽  
Pain Perception ◽  
Rating Scale ◽  
Inferior Alveolar Nerve ◽  
Control Group ◽  
P Value ◽  
Topical Anaesthetic ◽  
Paediatric Patients ◽  
Group I

Title : A comparative study on effectiveness of mucosal vibration and topical anaesthetic gel in reducing pain during administration of local anaesthetic in paediatric patients. Introduction: Anxiety related to dentistryis not uncommon in paediatric patients. Poor pain control alongside the fear and anxiety might interfere with appropriate dental management. In this study a modified mucosal vibration device is used to modify the pain perception during LA administration. Aim: To compare the effectiveness of topical anaesthetic gel and mucosal vibration during local anaestheticadministration in children in the age group8-11 years using both subjective and objective scalescales for measuring anxiety and pain. Methodology: Thirty children who required inferior alveolar nerve blockanaesthesia for routine dental procedures were included and divided equally into 3 groups Group I- control Group II- topical anaesthetic gel Group III - Mucosal vibrator Pain perception was compared, assessed and analysed during injection using Sound, Eye, Motor (SEM) scale, Doremon cartoon modified Wong Baker Faces Pain Rating Scale, MotuPatlu cartoon modified Venham scale Results: The scores of SEM scale and Doremon pain scale when subjected to statistical analysis gave a p value <0.001. Conclusion: Mucosal vibrator is an easily availablehandyand effective chair sidedevice for pain reduction during administration of local anaesthesia for paediatric patients

scholarly journals A Comparison of Two Pain Scales in the Assessment of Dental Pain in East Delhi Children

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Amit Khatri ◽  
Namita Kalra
Keyword(s):  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Pain Perception ◽  
Rating Scale ◽  
Measurement Techniques ◽  
Dental Extraction ◽  
Common Symptom ◽  
Pain Rating ◽  
Cross Sectional ◽  
Pain Rating Scale

Pain is the most common symptom of oral diseases. Pain perception in children is highly variable and unreliable due to poor communication. Therefore we designed a study to compare pain measurement techniques, that is, visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS) among Delhi children aged 3 to 14 years undergoing dental extraction. Method. A cross-sectional study was conducted on 180 patients aged 3 to 14 years who had undergone dental extraction. Children were assessed for their pain sensitivity using visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS ). Result and Conclusion. Pain threshold tends to decline, and the self-management of pain becomes more effective with increasing age. Genderwise result shows that communication ability of boys and girls is similar in all age groups.

Was That Painful or Nonpainful? The Sensation and Pain Rating Scale Performs Well in the Experimental Context

2019 ◽  
Vol 20 (4) ◽  
pp. 472.e1-472.e12 ◽  
Author(s):  
Victoria J. Madden ◽  
Peter R. Kamerman ◽  
Valeria Bellan ◽  
Mark J. Catley ◽  
Leslie N. Russek ◽  
...  
Keyword(s):  
Rating Scale ◽  
Pain Rating ◽  
Experimental Context ◽  
Pain Rating Scale

scholarly journals Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain

2021 ◽  
Vol 7 (4) ◽  
pp. 292-295
Author(s):  
Roland Prethipa P ◽  
Jimsha V K ◽  
Jonathan Daniel M
Keyword(s):  
Pain Assessment ◽  
Rating Scale ◽  
Orofacial Pain ◽  
Study Data ◽  
Self Report ◽  
P Value ◽  
Pain Rating ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.

scholarly journals Effectiveness of Strengthening and Aerobic Exercises among Geriatrics with Arthritis

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 593-598
Author(s):  
Tamilselvi S ◽  
Anshu Gloria Ekka ◽  
Arul Jothi L
Keyword(s):  
Aerobic Exercise ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Control Group ◽  
Research Approach ◽  
Intensity Level ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Pain Rating Scale ◽  
Experimental Group

Joint inflammation might be a term regularly acclimated mean any confusion that influences joints. Manifestations for the most part, incorporate joint torment and firmness. Different manifestations may incorporate redness, warmth, growing, the diminished scope of movement of the influenced joints. The aim of the study is to determine the effectiveness of strengthening and aerobic exercise among geriatrics with arthritis. A quantitative research approach with a quasi-experimental research design was used for the present study. A total of 60 arthritis clients who fall in the inclusion criteria were selected by purposive sampling technique, among which 30 samples were in the experimental group and 30 in the control group. The data were collected for both the groups, followed by the pre-test was conducted on the 1st day, the intensity level of pain was assessed by the numerical pain rating scale followed by the exercises which are effective in arthritis are a range of motion exercise, strengthening exercises (hand towel knee exercises, knee flexion, long arc quads), aerobic exercise (brisk walking) was initiated only in the experimental group. The post-test was conducted on 7th day and the level of pain was assessed by a numerical pain rating scale in both the groups. The results revealed that there was a significant reduction in the level of pain at p<0.0001 after the intervention among the experimental group. Thus, the study proves that strengthening and aerobic exercises can be used as an effective nursing intervention for reducing the arthritis pain among the geriatrics and it is easily applicable exercises, and also considered as a less cost-effective. These exercises can be practiced at home without any stress or harm and it has less side effect as compared to that of pharmacological interventions. 

scholarly journals Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

2021 ◽  
pp. 536-542
Author(s):  
Divya Jain ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Exercise Program ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

scholarly journals Effectiveness of Cryotherapy on Pain Reduction During Arteriovenous Fistula Puncture Among Patients Undergoing Hemodialysis

2020 ◽  
Vol 11 (3) ◽  
pp. 4314-4317
Author(s):  
Thamu Priyadharshini N T
Keyword(s):  
Rating Scale ◽  
Life Support ◽  
Pain Reduction ◽  
Control Group ◽  
Pain Rating ◽  
Av Fistula ◽  
Numerical Pain Rating Scale ◽  
Significant Difference ◽  
Pain Rating Scale ◽  
Experimental Group

Dialysis is performed as critical life support when the patient is suffering acute and chronic kidney failure. The study focus on to determine effectiveness of on pain reduction during AV fistula puncture among patients undergoing . The population comprised of patients in . Experimental Research design was utilized for this study. The investigators assess the pain on AV fistula puncture among the patients with the assistance of numerical pain rating scale, Sixty samples (30 experimental group and 30 control group)were selected by probability simple random (Numerical table method)sampling technique, the data was gathered through the Numerical Pain Rating scale and demographic variables. The pain on AV fistula puncture of the experimental group and control group were calculated by paired’ test for experimental group (‘t’ = 18) and in control group, (‘t’ =1.5). This proves that there is a significant difference in test and post test levels of pain on AV fistula puncture in the experimental group at 0.05 levels. It indicated that the given was effective. The implication of the findings indicated that given was effective for pain reduction during AV fistula puncture among patients. : , pain on AV fistula puncture, patients. implication of the findings indicated that given was effective for pain reduction during AV fistula puncture among patients.

scholarly journals STORYTELLING DENGAN BONEKA JARI UNTUK MENURUNKAN TINGKAT NYERI PEMASANGAN INFUS PADA ANAK PRA SEKOLAH

2020 ◽  
Vol 7 (1) ◽  
pp. 75-85
Author(s):  
Ika Subekti Wulandari ◽  
Endar Setyaningsih ◽  
Anissa Cindy Nurul Afni
Keyword(s):  
Rating Scale ◽  
Pain Rating ◽  
Post Test ◽  
Pain Rating Scale

Pada masa perawatan di rumah sakit, anak prasekolah dapat mengalami hospitalisasiakibat adanya tindakan invasif seperti pemasangan infus. Pemasangan infus merupakantindakan yang sering menimbulkan nyeri pada anak. Diperlukan terapi nonfarmakologidengan teknik distraksi bercerita agar anak bisa lebih kooperatif dalam pemasangan infus.Storytelling dengan boneka tangan dapat menurunkan nyeri fisiologis, stres dan kecemasandalam mengalihkan perhatian seseorang dari nyeri. Penelitian ini bertujuan untukmengetahui pengaruh metode storrytelling dengan boneka jari terhadap tingkat nyerianak usia prasekolah saat pemasangan infus di rawat inap Puskesmas Weru. Penelitian iniadalah quasi eksperimental design dengan rancangan post test only design. Pengambilansampel dengan incidental sampling sejumlah 19 anak kelompok perlakuan dan 19 anakkelompok kontrol. Tingkat nyeri diukur dengan wong-baker faces pain rating scale. Analisisdata menggunakan uji mann withney. Hasil uji analisis mann withney didapatkan nilai pvalue 0,000 artinya ada perbedaan tingkat nyeri antara kelompok perlakuan dan kelompokkontrol. Kesimpulannya adalah ada pengaruh memberikan perlakuan strorytelling denganboneka jari terhadap tingkat nyeri anak usia prasekolah saat pemasangan infus. Bagiperawat atau tenaga kesehatan lainnya diharapkan untuk melakukan teknik distraksibercerita sebagai terapi nonfarmakologi saat melakukan tindakan invasif agar tingkat nyerianak lebih rendah atau berkurang.

scholarly journals A prospective study of lornoxicam as pre-emptive analgesic in abdominal surgeries in tertiary care hospital in Salem, India

2017 ◽  
Vol 6 (7) ◽  
pp. 1778
Author(s):  
Mohammed Ziauddin Sarkhil ◽  
Hemant Kumar Dutt ◽  
Rajaram S.
Keyword(s):  
Rating Scale ◽  
Tertiary Care ◽  
Open Appendectomy ◽  
Care Hospital ◽  
Pain Rating ◽  
Pain Scores ◽  
Analgesic Regimen ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: Preemptive analgesia, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain.Methods: To determine the efficacy and safety of Lornoxicam when administered preemptively by using Wong-Baker FACES Pain Rating scale. The patients undergoing abdominal surgery were randomly categorized into group A and B of 25 each. Group A- Received Lornoxicam 8mg (1ml) one hour before surgery. Group B- Not received any analgesic before surgery. Primary measurement of the efficacy was done by using Wong-Baker Faces Pain Rating Scale at 2, 4, 8, 12 and 24 hour. All parameters were analyzed by using student t test.Results: Surgeries which were included in the study are hernia repair, open appendectomy, laparoscopic (appendectomy, cholecystectomy). Reduction in pain scores at 12th hourly and 24th hourly pain scores (<0.05) was significant. Tramadol usage decreased significantly with laparoscopic surgeries.Conclusions: In this study we could demonstrate that lornoxicam when used preemptively reduces the pain score slightly and reduces the requirement of post-operative analgesics significantly.

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