Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial
Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with and without local warming on vein size. To evaluate the effectiveness of tourniquet applicati...
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| Veröffentlicht in: | International journal of nursing studies 2017-07, Vol.72, p.1-7 |
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| creator | Yamagami, Yuki Tomita, Kohei Tsujimoto, Tomomi Inoue, Tomoko |
| description | Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with and without local warming on vein size.
To evaluate the effectiveness of tourniquet application after local forearm warming with that of tourniquet application alone in young and middle-aged adults.
A single-blind, prospective, parallel group, randomized controlled trial.
A national university in Japan.
Seventy-two volunteers aged 20–64 years.
Participants were randomly allocated to one of two groups: tourniquet application for 30s after forearm application of a heat pack warmed to 40°C±2°C for 15min (active warming group; n=36) or tourniquet application for 30s after applying a non-warmed heat pack for 15min (passive warming group; n=36). The primary outcomes were vein cross-sectional area on the forearm, measured after the intervention by blinded research assistants using ultrasound. Secondary outcomes were shortest diameter, and longest diameter of vein on the forearm, forearm skin temperature, body temperature, pulse, systolic blood pressure, and diastolic blood pressure. All outcomes were assessed at the same site before and immediately after the intervention, once per participant.
Vein cross-sectional area, shortest vein diameter, and longest vein diameter were significantly increased in the active warming group compared with the passive warming group (p |
| doi_str_mv | 10.1016/j.ijnurstu.2017.03.009 |
| format | Article |
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To evaluate the effectiveness of tourniquet application after local forearm warming with that of tourniquet application alone in young and middle-aged adults.
A single-blind, prospective, parallel group, randomized controlled trial.
A national university in Japan.
Seventy-two volunteers aged 20–64 years.
Participants were randomly allocated to one of two groups: tourniquet application for 30s after forearm application of a heat pack warmed to 40°C±2°C for 15min (active warming group; n=36) or tourniquet application for 30s after applying a non-warmed heat pack for 15min (passive warming group; n=36). The primary outcomes were vein cross-sectional area on the forearm, measured after the intervention by blinded research assistants using ultrasound. Secondary outcomes were shortest diameter, and longest diameter of vein on the forearm, forearm skin temperature, body temperature, pulse, systolic blood pressure, and diastolic blood pressure. All outcomes were assessed at the same site before and immediately after the intervention, once per participant.
Vein cross-sectional area, shortest vein diameter, and longest vein diameter were significantly increased in the active warming group compared with the passive warming group (p <0.01). Tourniquet application after local warming was superior to tourniquet application alone in increasing vein cross-sectional, shortest diameter, and longest diameter (between-group differences of 2.2mm2, 0.5mm, and 0.5mm, respectively), and in raising skin temperature (between-group difference: 5.2°C). However, there were no significant differences in body temperature, pulse, or systolic or diastolic blood pressure between the groups. There were no adverse events associated with either intervention.
Tourniquet application after local warming was associated with increased forearm vein size when compared with tourniquet application alone, and was demonstrated as being safe. Thus, with demonstrable effects on vein size, we recommend local warming before tourniquet application as a safe and effective technique for improving venodilation.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2017.03.009</identifier><identifier>PMID: 28410510</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Adults ; Application ; Blood pressure ; Body temperature ; Catheterization ; Clinical trials ; Critical incidents ; Evidence-based ; Evidence-based nursing ; Female ; Forearm ; Heating ; Hot Temperature ; Humans ; Infusions, Intravenous - methods ; Injections ; Intervention ; Intravenous ; Intubation ; Japan ; Male ; Medical equipment ; Medical practice ; Middle age ; Middle Aged ; Nursing ; Nursing practice ; Peripheral ; Prospective Studies ; Randomized controlled trials ; Single-Blind Method ; Tourniquets ; Ultrasonography ; Vasodilation ; Volunteers ; Warming techniques ; Young Adult</subject><ispartof>International journal of nursing studies, 2017-07, Vol.72, p.1-7</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-fef5eb85df5d36237fda783d22c5455e754fea88bd9307e855d26c894b41a91e3</citedby><cites>FETCH-LOGICAL-c462t-fef5eb85df5d36237fda783d22c5455e754fea88bd9307e855d26c894b41a91e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijnurstu.2017.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,31003,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28410510$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamagami, Yuki</creatorcontrib><creatorcontrib>Tomita, Kohei</creatorcontrib><creatorcontrib>Tsujimoto, Tomomi</creatorcontrib><creatorcontrib>Inoue, Tomoko</creatorcontrib><title>Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with and without local warming on vein size.
To evaluate the effectiveness of tourniquet application after local forearm warming with that of tourniquet application alone in young and middle-aged adults.
A single-blind, prospective, parallel group, randomized controlled trial.
A national university in Japan.
Seventy-two volunteers aged 20–64 years.
Participants were randomly allocated to one of two groups: tourniquet application for 30s after forearm application of a heat pack warmed to 40°C±2°C for 15min (active warming group; n=36) or tourniquet application for 30s after applying a non-warmed heat pack for 15min (passive warming group; n=36). The primary outcomes were vein cross-sectional area on the forearm, measured after the intervention by blinded research assistants using ultrasound. Secondary outcomes were shortest diameter, and longest diameter of vein on the forearm, forearm skin temperature, body temperature, pulse, systolic blood pressure, and diastolic blood pressure. All outcomes were assessed at the same site before and immediately after the intervention, once per participant.
Vein cross-sectional area, shortest vein diameter, and longest vein diameter were significantly increased in the active warming group compared with the passive warming group (p <0.01). Tourniquet application after local warming was superior to tourniquet application alone in increasing vein cross-sectional, shortest diameter, and longest diameter (between-group differences of 2.2mm2, 0.5mm, and 0.5mm, respectively), and in raising skin temperature (between-group difference: 5.2°C). However, there were no significant differences in body temperature, pulse, or systolic or diastolic blood pressure between the groups. There were no adverse events associated with either intervention.
Tourniquet application after local warming was associated with increased forearm vein size when compared with tourniquet application alone, and was demonstrated as being safe. Thus, with demonstrable effects on vein size, we recommend local warming before tourniquet application as a safe and effective technique for improving venodilation.</description><subject>Adult</subject><subject>Adults</subject><subject>Application</subject><subject>Blood pressure</subject><subject>Body temperature</subject><subject>Catheterization</subject><subject>Clinical trials</subject><subject>Critical incidents</subject><subject>Evidence-based</subject><subject>Evidence-based nursing</subject><subject>Female</subject><subject>Forearm</subject><subject>Heating</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Infusions, Intravenous - methods</subject><subject>Injections</subject><subject>Intervention</subject><subject>Intravenous</subject><subject>Intubation</subject><subject>Japan</subject><subject>Male</subject><subject>Medical equipment</subject><subject>Medical practice</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing practice</subject><subject>Peripheral</subject><subject>Prospective Studies</subject><subject>Randomized controlled trials</subject><subject>Single-Blind Method</subject><subject>Tourniquets</subject><subject>Ultrasonography</subject><subject>Vasodilation</subject><subject>Volunteers</subject><subject>Warming techniques</subject><subject>Young Adult</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkctuFDEQRVsIRELgFyJLbNj0YLtfblZEES8pEpsgsbM8dnWokdtubPdE4Q_5K2o0ExZs2NiWdW7dqrpVdSn4RnDRv91tcBfWlMu6kVwMG95sOB-fVOdCDU3djuL70-qcc8nroVXjWfUi5x3nXCiunldnUrWCd4KfV79v45oC_lyhMLMsHq0pGAMzU4HEfLTGsykmMGlm93RguGMlMpyXFPfA9hCiQ3_UEMcWSLj8gEQyDCWZA7BmZk0I6wnDwB7iSnVMcGxG5zzU5g4cM271Jb9jVyyTDf1uPRJCTnkBW5D8EmnijL-ItpHqR-_pWRIa_7J6Nhmf4dXpvqi-ffxwe_25vvn66cv11U1t216WeoKpg63q3NS5ppfNMDkzqMZJabu262Do2gmMUls3NnwA1XVO9laN7bYVZhTQXFRvjnWpL1pbLnrGbMF7E4BG1UIp1Ss-KE7o63_Q3WHb1J0WY9tKKYdmJKo_UpYGzQkmvSScTXrQgutD2HqnH8PWh7A1bzSFTcLLU_l1O4P7K3tMl4D3RwBoH3uEpLNFCBYcJlqodhH_5_EHVHTFuA</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Yamagami, Yuki</creator><creator>Tomita, Kohei</creator><creator>Tsujimoto, Tomomi</creator><creator>Inoue, Tomoko</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial</title><author>Yamagami, Yuki ; Tomita, Kohei ; Tsujimoto, Tomomi ; Inoue, Tomoko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-fef5eb85df5d36237fda783d22c5455e754fea88bd9307e855d26c894b41a91e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Application</topic><topic>Blood pressure</topic><topic>Body temperature</topic><topic>Catheterization</topic><topic>Clinical trials</topic><topic>Critical incidents</topic><topic>Evidence-based</topic><topic>Evidence-based nursing</topic><topic>Female</topic><topic>Forearm</topic><topic>Heating</topic><topic>Hot Temperature</topic><topic>Humans</topic><topic>Infusions, Intravenous - methods</topic><topic>Injections</topic><topic>Intervention</topic><topic>Intravenous</topic><topic>Intubation</topic><topic>Japan</topic><topic>Male</topic><topic>Medical equipment</topic><topic>Medical practice</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing practice</topic><topic>Peripheral</topic><topic>Prospective Studies</topic><topic>Randomized controlled trials</topic><topic>Single-Blind Method</topic><topic>Tourniquets</topic><topic>Ultrasonography</topic><topic>Vasodilation</topic><topic>Volunteers</topic><topic>Warming techniques</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamagami, Yuki</creatorcontrib><creatorcontrib>Tomita, Kohei</creatorcontrib><creatorcontrib>Tsujimoto, Tomomi</creatorcontrib><creatorcontrib>Inoue, Tomoko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamagami, Yuki</au><au>Tomita, Kohei</au><au>Tsujimoto, Tomomi</au><au>Inoue, Tomoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2017-07</date><risdate>2017</risdate><volume>72</volume><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract>Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with and without local warming on vein size.
To evaluate the effectiveness of tourniquet application after local forearm warming with that of tourniquet application alone in young and middle-aged adults.
A single-blind, prospective, parallel group, randomized controlled trial.
A national university in Japan.
Seventy-two volunteers aged 20–64 years.
Participants were randomly allocated to one of two groups: tourniquet application for 30s after forearm application of a heat pack warmed to 40°C±2°C for 15min (active warming group; n=36) or tourniquet application for 30s after applying a non-warmed heat pack for 15min (passive warming group; n=36). The primary outcomes were vein cross-sectional area on the forearm, measured after the intervention by blinded research assistants using ultrasound. Secondary outcomes were shortest diameter, and longest diameter of vein on the forearm, forearm skin temperature, body temperature, pulse, systolic blood pressure, and diastolic blood pressure. All outcomes were assessed at the same site before and immediately after the intervention, once per participant.
Vein cross-sectional area, shortest vein diameter, and longest vein diameter were significantly increased in the active warming group compared with the passive warming group (p <0.01). Tourniquet application after local warming was superior to tourniquet application alone in increasing vein cross-sectional, shortest diameter, and longest diameter (between-group differences of 2.2mm2, 0.5mm, and 0.5mm, respectively), and in raising skin temperature (between-group difference: 5.2°C). However, there were no significant differences in body temperature, pulse, or systolic or diastolic blood pressure between the groups. There were no adverse events associated with either intervention.
Tourniquet application after local warming was associated with increased forearm vein size when compared with tourniquet application alone, and was demonstrated as being safe. Thus, with demonstrable effects on vein size, we recommend local warming before tourniquet application as a safe and effective technique for improving venodilation.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28410510</pmid><doi>10.1016/j.ijnurstu.2017.03.009</doi><tpages>7</tpages></addata></record> |
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| ispartof | International journal of nursing studies, 2017-07, Vol.72, p.1-7 |
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| language | eng |
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| subjects | Adult Adults Application Blood pressure Body temperature Catheterization Clinical trials Critical incidents Evidence-based Evidence-based nursing Female Forearm Heating Hot Temperature Humans Infusions, Intravenous - methods Injections Intervention Intravenous Intubation Japan Male Medical equipment Medical practice Middle age Middle Aged Nursing Nursing practice Peripheral Prospective Studies Randomized controlled trials Single-Blind Method Tourniquets Ultrasonography Vasodilation Volunteers Warming techniques Young Adult |
| title | Tourniquet application after local forearm warming to improve venodilation for peripheral intravenous cannulation in young and middle-aged adults: A single-blind prospective randomized controlled trial |
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