Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment

Wu Xunxin; Wang Jing

doi:doi:10.11648/j.ajns.20231206.11

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Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment

Wu Xunxin, Wang Jing^*

Published in American Journal of Nursing Science (Volume 12, Issue 6)

Received: 15 December 2023 Accepted: 28 December 2023 Published: 8 January 2024

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Abstract

Purpose: To compare patients’ pain and stress reactions while fixing the stereotactic headstock for gamma knife treatment by applying compound lidocaine cream for epidermal anesthesia and lidocaine cream for local anesthesia, and applying lidocaine cream alone for local anesthesia. Method: 436 patients admitted to the Gamma Knife Center of the First Affiliated Hospital of Jinan University from February-September 2022 were randomly divided into a study group (n=216) and control group (n=219). In the study group, the lidocaine cream (5%) was applied at two nail positions behind the frontal pillow one hour before the stereotactic head holder was fixed, and the holder was installed following local anesthesia with lidocaine cream following local drug infiltration. In the control group, lidocaine injection was used for local anesthesia. The Visual Analogue Scale (VAS) score was used for self-assessment to objectively measure the degree of facial pain, and the revised Facial Pain Scale (FPS-R) was used for behavioral assessment. The pain was scored and graded before, during and after the fixation, recording changes of the mean arterial pressure and heart rate before and after the installation as the patients showed stress reaction. Results: There was no significant difference (P>0.05) in VAS score, FPS-R classification, mean arterial pressure and heart rate between the two groups before the stereotactic headstock fixation. During the fixation, the VAS scores of the study group and the control group decreased significantly, and the difference was statistically significant (P<0.0001). In the study group, the FPS-R showed more mild pain than in the control group, and the difference was statistically significant (P<0.001). Five minutes after the fixation, the VAS score of the study group was lower than that of the control group, with statistical significance (P<0.001). After the fixation, the mean arterial pressure was lower in the study group than in the control group, and the difference was statistically significant (P<0.001). Immediately after the fixation, the heart rate of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Applying 5% compound lidocaine cream to the stereotactic head holder nail positions prior to gamma knife treatment produces a good preemptive analgesia effect, with positive significance for reducing the occurrence of syncope and seizures caused by pain during head holder installation, making patients feel more comfortable during treatment.

Published in	American Journal of Nursing Science (Volume 12, Issue 6)
DOI	10.11648/j.ajns.20231206.11
Page(s)	106-109
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Gamma Knife, Stereotactic Head Holder, Compound Lidocaine Cream, Preemptive Analgesia

References

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[2]	Du Guoqiang. Individualized prevention and nursing care of patients with syncope during gamma knife treatment of fixed stereotactic headgear [J]. Chinese Medical Journal, 2019, 54(2): 225-227.
[3]	Li Xueqin, Chen Hong, Yao Tingting. Observation on analgesic effect of compound lidocaine cream in traditional PICC for tumor patients [J]. Journal of Clinical Nursing, 2015, 14(2): 78-80.
[4]	Wu Yali, Han Keqiang, Liuhong, et al. Observation on analgesic effect of compound lidocaine cream in PICC puncture [J]. nursing research, 2009, 23(8): 723-724.
[5]	Xia Weipeng, Wei Lingxin, Deng Xiaoming, et al. Feasibility and safety of sedation and analgesia in prone plastic surgery [J]. Chinese Journal of Plastic Surgery, 2017, 33(S1): 110-114.
[6]	Jia Shan, Yu Aihong, Xue Hongyu, et al. The effect of preemptive analgesia with compound lidocaine cream in facial cosmetic surgery [J]. chinese journal of aesthetic and plastic surgery, 2018, 29(12): 766-767, 770.
[7]	Yang Manhong, Chen Juanjuan, Liu Xiaohong, et al. Study on the application of Yunnan Baiyao aerosol and compound lidocaine cream in PICC catheter analgesia [J]. Nursing Research, 2020, 34(16): 2958-2960.
[8]	Guo Hua, Li Mingqing, Guo Qingmei. Analgesic effect of percutaneous injection of compound lidocaine cream with microneedles in skin grinding [J]. Medical Review, 2019, 25(18): 3732-3736.
[9]	Zhu Yuanmei, Yao Xiue, Lin Baoqin, et al. Observation on analgesic effect of compound lidocaine cream in subcutaneous injection of goserelin [J]. China Medical Science, 2020, 10(1): 119-121, 140.
[10]	Pan Jie, Zhong Wenhong, Deng Min. On the causes and preventive and nursing measures of syncope caused by venous blood sampling in students' physical examination [J]. Journal of Qiqihar Medical College, 2009, 30(1): 95.
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[14]	MOORE H C, UNGER J M, PHILLIPS K A, et al. Goserelin for ovarian protection during breast-cancer adjuvant chemotherapy [J]. N Engl J Med, 2015, 372(10): 923-932.

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APA Style

Xunxin, W., Jing, W. (2024). Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. American Journal of Nursing Science, 12(6), 106-109. https://doi.org/10.11648/j.ajns.20231206.11

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ACS Style

Xunxin, W.; Jing, W. Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. Am. J. Nurs. Sci. 2024, 12(6), 106-109. doi: 10.11648/j.ajns.20231206.11

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AMA Style

Xunxin W, Jing W. Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. Am J Nurs Sci. 2024;12(6):106-109. doi: 10.11648/j.ajns.20231206.11

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@article{10.11648/j.ajns.20231206.11,
  author = {Wu Xunxin and Wang Jing},
  title = {Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {6},
  pages = {106-109},
  doi = {10.11648/j.ajns.20231206.11},
  url = {https://doi.org/10.11648/j.ajns.20231206.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231206.11},
  abstract = {Purpose: To compare patients’ pain and stress reactions while fixing the stereotactic headstock for gamma knife treatment by applying compound lidocaine cream for epidermal anesthesia and lidocaine cream for local anesthesia, and applying lidocaine cream alone for local anesthesia. Method: 436 patients admitted to the Gamma Knife Center of the First Affiliated Hospital of Jinan University from February-September 2022 were randomly divided into a study group (n=216) and control group (n=219). In the study group, the lidocaine cream (5%) was applied at two nail positions behind the frontal pillow one hour before the stereotactic head holder was fixed, and the holder was installed following local anesthesia with lidocaine cream following local drug infiltration. In the control group, lidocaine injection was used for local anesthesia. The Visual Analogue Scale (VAS) score was used for self-assessment to objectively measure the degree of facial pain, and the revised Facial Pain Scale (FPS-R) was used for behavioral assessment. The pain was scored and graded before, during and after the fixation, recording changes of the mean arterial pressure and heart rate before and after the installation as the patients showed stress reaction. Results: There was no significant difference (P>0.05) in VAS score, FPS-R classification, mean arterial pressure and heart rate between the two groups before the stereotactic headstock fixation. During the fixation, the VAS scores of the study group and the control group decreased significantly, and the difference was statistically significant (P<0.0001). In the study group, the FPS-R showed more mild pain than in the control group, and the difference was statistically significant (P<0.001). Five minutes after the fixation, the VAS score of the study group was lower than that of the control group, with statistical significance (P<0.001). After the fixation, the mean arterial pressure was lower in the study group than in the control group, and the difference was statistically significant (P<0.001). Immediately after the fixation, the heart rate of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Applying 5% compound lidocaine cream to the stereotactic head holder nail positions prior to gamma knife treatment produces a good preemptive analgesia effect, with positive significance for reducing the occurrence of syncope and seizures caused by pain during head holder installation, making patients feel more comfortable during treatment.
},
 year = {2024}
}

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TY  - JOUR
T1  - Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment
AU  - Wu Xunxin
AU  - Wang Jing
Y1  - 2024/01/08
PY  - 2024
N1  - https://doi.org/10.11648/j.ajns.20231206.11
DO  - 10.11648/j.ajns.20231206.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 106
EP  - 109
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231206.11
AB  - Purpose: To compare patients’ pain and stress reactions while fixing the stereotactic headstock for gamma knife treatment by applying compound lidocaine cream for epidermal anesthesia and lidocaine cream for local anesthesia, and applying lidocaine cream alone for local anesthesia. Method: 436 patients admitted to the Gamma Knife Center of the First Affiliated Hospital of Jinan University from February-September 2022 were randomly divided into a study group (n=216) and control group (n=219). In the study group, the lidocaine cream (5%) was applied at two nail positions behind the frontal pillow one hour before the stereotactic head holder was fixed, and the holder was installed following local anesthesia with lidocaine cream following local drug infiltration. In the control group, lidocaine injection was used for local anesthesia. The Visual Analogue Scale (VAS) score was used for self-assessment to objectively measure the degree of facial pain, and the revised Facial Pain Scale (FPS-R) was used for behavioral assessment. The pain was scored and graded before, during and after the fixation, recording changes of the mean arterial pressure and heart rate before and after the installation as the patients showed stress reaction. Results: There was no significant difference (P>0.05) in VAS score, FPS-R classification, mean arterial pressure and heart rate between the two groups before the stereotactic headstock fixation. During the fixation, the VAS scores of the study group and the control group decreased significantly, and the difference was statistically significant (P<0.0001). In the study group, the FPS-R showed more mild pain than in the control group, and the difference was statistically significant (P<0.001). Five minutes after the fixation, the VAS score of the study group was lower than that of the control group, with statistical significance (P<0.001). After the fixation, the mean arterial pressure was lower in the study group than in the control group, and the difference was statistically significant (P<0.001). Immediately after the fixation, the heart rate of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Applying 5% compound lidocaine cream to the stereotactic head holder nail positions prior to gamma knife treatment produces a good preemptive analgesia effect, with positive significance for reducing the occurrence of syncope and seizures caused by pain during head holder installation, making patients feel more comfortable during treatment.

VL  - 12
IS  - 6
ER  -

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Author Information

Wu Xunxin

Gamma Knife Center of the First Affiliated Hospital of Jinan University, Guangzhou, China
Wang Jing

Department of Infectious Diseases, First Affiliated Hospital of Jinan University, Guangzhou, China

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Plain Text BibTeX RIS

APA Style

Xunxin, W., Jing, W. (2024). Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. American Journal of Nursing Science, 12(6), 106-109. https://doi.org/10.11648/j.ajns.20231206.11

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ACS Style

Xunxin, W.; Jing, W. Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. Am. J. Nurs. Sci. 2024, 12(6), 106-109. doi: 10.11648/j.ajns.20231206.11

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AMA Style

Xunxin W, Jing W. Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment. Am J Nurs Sci. 2024;12(6):106-109. doi: 10.11648/j.ajns.20231206.11

Copy | Download

@article{10.11648/j.ajns.20231206.11,
  author = {Wu Xunxin and Wang Jing},
  title = {Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {6},
  pages = {106-109},
  doi = {10.11648/j.ajns.20231206.11},
  url = {https://doi.org/10.11648/j.ajns.20231206.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231206.11},
  abstract = {Purpose: To compare patients’ pain and stress reactions while fixing the stereotactic headstock for gamma knife treatment by applying compound lidocaine cream for epidermal anesthesia and lidocaine cream for local anesthesia, and applying lidocaine cream alone for local anesthesia. Method: 436 patients admitted to the Gamma Knife Center of the First Affiliated Hospital of Jinan University from February-September 2022 were randomly divided into a study group (n=216) and control group (n=219). In the study group, the lidocaine cream (5%) was applied at two nail positions behind the frontal pillow one hour before the stereotactic head holder was fixed, and the holder was installed following local anesthesia with lidocaine cream following local drug infiltration. In the control group, lidocaine injection was used for local anesthesia. The Visual Analogue Scale (VAS) score was used for self-assessment to objectively measure the degree of facial pain, and the revised Facial Pain Scale (FPS-R) was used for behavioral assessment. The pain was scored and graded before, during and after the fixation, recording changes of the mean arterial pressure and heart rate before and after the installation as the patients showed stress reaction. Results: There was no significant difference (P>0.05) in VAS score, FPS-R classification, mean arterial pressure and heart rate between the two groups before the stereotactic headstock fixation. During the fixation, the VAS scores of the study group and the control group decreased significantly, and the difference was statistically significant (P<0.0001). In the study group, the FPS-R showed more mild pain than in the control group, and the difference was statistically significant (P<0.001). Five minutes after the fixation, the VAS score of the study group was lower than that of the control group, with statistical significance (P<0.001). After the fixation, the mean arterial pressure was lower in the study group than in the control group, and the difference was statistically significant (P<0.001). Immediately after the fixation, the heart rate of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Applying 5% compound lidocaine cream to the stereotactic head holder nail positions prior to gamma knife treatment produces a good preemptive analgesia effect, with positive significance for reducing the occurrence of syncope and seizures caused by pain during head holder installation, making patients feel more comfortable during treatment.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Preemptive Analgesic Application of Compound Lidocaine Cream for Stereotactic Head Holder Fixing in Gamma Knife Treatment
AU  - Wu Xunxin
AU  - Wang Jing
Y1  - 2024/01/08
PY  - 2024
N1  - https://doi.org/10.11648/j.ajns.20231206.11
DO  - 10.11648/j.ajns.20231206.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 106
EP  - 109
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231206.11
AB  - Purpose: To compare patients’ pain and stress reactions while fixing the stereotactic headstock for gamma knife treatment by applying compound lidocaine cream for epidermal anesthesia and lidocaine cream for local anesthesia, and applying lidocaine cream alone for local anesthesia. Method: 436 patients admitted to the Gamma Knife Center of the First Affiliated Hospital of Jinan University from February-September 2022 were randomly divided into a study group (n=216) and control group (n=219). In the study group, the lidocaine cream (5%) was applied at two nail positions behind the frontal pillow one hour before the stereotactic head holder was fixed, and the holder was installed following local anesthesia with lidocaine cream following local drug infiltration. In the control group, lidocaine injection was used for local anesthesia. The Visual Analogue Scale (VAS) score was used for self-assessment to objectively measure the degree of facial pain, and the revised Facial Pain Scale (FPS-R) was used for behavioral assessment. The pain was scored and graded before, during and after the fixation, recording changes of the mean arterial pressure and heart rate before and after the installation as the patients showed stress reaction. Results: There was no significant difference (P>0.05) in VAS score, FPS-R classification, mean arterial pressure and heart rate between the two groups before the stereotactic headstock fixation. During the fixation, the VAS scores of the study group and the control group decreased significantly, and the difference was statistically significant (P<0.0001). In the study group, the FPS-R showed more mild pain than in the control group, and the difference was statistically significant (P<0.001). Five minutes after the fixation, the VAS score of the study group was lower than that of the control group, with statistical significance (P<0.001). After the fixation, the mean arterial pressure was lower in the study group than in the control group, and the difference was statistically significant (P<0.001). Immediately after the fixation, the heart rate of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Applying 5% compound lidocaine cream to the stereotactic head holder nail positions prior to gamma knife treatment produces a good preemptive analgesia effect, with positive significance for reducing the occurrence of syncope and seizures caused by pain during head holder installation, making patients feel more comfortable during treatment.

VL  - 12
IS  - 6
ER  -

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