Effectiveness of lidocaine lubricant for discomfort during pediatric urethral catheterization
NLM Title Abbreviation
The Journal of urology
DOI of Published Version
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.
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.