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Study aim: Comparison of the effect of topical application of piroxicam gel, diclofenac gel and emla on pain relief of angiocatheter insertion in patients Design: A parallel-group, single-blind, randomized clinical trial in 123 patients Settings and conduct: The number of 123 patients admitted to surgery department of Valiasr Hospital in Arak, provided that they meet the inclusion criteria and do not have the exclusion criteria, after fully explaining the conditions of the study and obtaining informed consent, will be investigated as the target population. After recording basic vital signs (blood pressure and heart rate), patients will be randomly divided into three groups. The data collection tool in this research will be a personal information questionnaire (age, height, history of venipuncture , etc.) and VAS scale to measure the intensity of pain caused by venipuncture. In all patients, venous cannulation will be done from a specific area, which is the veins on the back of the hand. Also, in all patients, an Angiocath with the same number will be used, and all cannulations will be performed by an experienced nurse. After determining the patient group for blinding, the researcher will cover the tube of intervention drugs with paper covers and then apply the drug in the desired position in each group. Participants/Inclusion and exclusion criteria: Age range from 15 to 65 years؛ ASA class I, II؛ absence of pain for any reason Intervention groups: First group: Piroxicam (P), 10 mg of piroxicam gel is placed in the target area (veins on the back of the hand) in dimensions of 2 x 4 cm. The second group: diclofenac (D), 100 mg of diclofenac gel is placed in the target area (veins on the back of the hand) in dimensions of 2 x 4 cm. The third group: Emla (E), 1.5 grams of cream is placed in the desired place (veins on the back of the hand) in dimensions of 2 x 4 cm. Main outcome variables: Intensity of pain
IRCTID: IRCT20180107038251N8
  1. Review and compare of effect of local application Peppermint with Cold compress on the severity of pain due to the entry of needle into the arteriovenous fistula in dialysis patients
  2. Comparison of the effect of EMLA and massage on the pain and anxiety caused by intravenous insertion in hospitalized children of 3-6 years old
  3. Comparison of the effect of Acupressure and Buzzy on First insertion success and pain related insertion of intravenous catheter (Angiocath) in 3-6 year old children referred to the emergency department
  4. Comparison of Ofsar ointment and EMLA (procaine+lidocaine) ointment in local analgesia for access to vein in cardiac surgery patients before induction of anesthesia
  5. Comparative study of intravenous administration of low-dose Propofol with lidocaine on the reduction of local pain caused by intravenous injection of full-dose Propofol during induction of general anesthesia
  6. Clinical Trial "Assessment of the effect of Diclofenac gel and EMLA ointment on vein puncture pain severity with vein catheter in patient undergoing cesarean section"
  7. Effect of watching cartoon on venipuncture induced pain and anxiety in 3-6 year-old children admitted to pediatric ward
  8. Comparing the effects of EMLA cream with acupressure on vein puncture pain at 6 -12 year old in teaching hospital's of Rafsanjan University of Medical Science in 2013-2014
  9. Comparing the efficiency of Hegu point massage with ice on severity of venipuncture pain compared to placebo in children with thalassemia referring to Kerman Samenolhojaj Medical Center in 2014
  10. The Comparison of Effects of Transcutaneous Electrical Nerve Stimulation and Ointment Emla on Pain Associated with Arterial, Venous Blood Sampling, and Intravascular access in Chronic Obstructive Pulmonary Diseases.
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