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Article
Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization
The Journal of urology
  • L. L. Gerard
  • C. S. Cooper
  • K. S. Duethman
  • B. M. Gordley
  • Charmaine Kleiber, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
8-1-2003
NLM Title Abbreviation
J Urol
PubMed ID
12853831
DOI of Published Version
10.1097/01.ju.0000068720.10881.b3
Abstract

PURPOSE: Many children with urinary tract infections and vesicoureteral reflux require catheterization. Catheterization can be a painful experience, and a desire to avoid this experience may affect patient care. We evaluated the effectiveness of lubricant containing lidocaine for minimizing patient pain and distress during catheterization. MATERIALS AND METHODS: We conducted a prospective, double-blind, placebo controlled trial. Twenty children (16 girls and 4 boys, mean age 7.7 years) had urethral lubricant with or without lidocaine placed within 10 minutes before urethral catheterization. In all children pre-procedure anxiety, and pain and distress during catheterization were recorded. Pre-procedure anxiety was measured using a visual analog scale, pain was measured with the Oucher Pain Scale and distress was recorded by 2 independent observers with a simple 7-point Likert-type scale. RESULTS: There were no significant group differences for age, number of previous catheterizations or pre-procedure anxiety. The group receiving lubricant with lidocaine had significantly lower pain (21 +/- 19.69 versus 65.5 +/- 26.29) and distress (2.65 +/- 1.97 versus 4.7 +/- 2.07) (p = 0.001 and 0.007, respectively). CONCLUSIONS: The use of lubricant with lidocaine significantly decreases pain with pediatric urethral catheterization and is recommended with pediatric catheterizations.

Keywords
  • Anesthetics,
  • Local/administration & dosage,
  • Anxiety,
  • Child,
  • Child Behavior,
  • Child,
  • Preschool,
  • Double-Blind Method,
  • Female,
  • Humans,
  • Lidocaine/administration & dosage,
  • Lubrication,
  • Male,
  • Pain Measurement,
  • Prospective Studies,
  • Urethra,
  • Urinary Catheterization/methods
Published Article/Book Citation
The Journal of urology, 170:2 Pt 1 (2003) pp.564-567. DOI:10.1097/01.ju.0000068720.10881.b3.
Disciplines
Citation Information
L. L. Gerard, C. S. Cooper, K. S. Duethman, B. M. Gordley, et al.. "Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization" The Journal of urology Vol. 170 Iss. 2 Pt 1 (2003) p. 564 - 567 ISSN: 0022-5347
Available at: http://works.bepress.com/charmaine_kleiber/45/