Original Articles
Local Anesthesia in Arterial Puncture: Nurses' Knowledge and Attitudes
Antonio Vicente Valero Marcoa,b,
, Carmen Martínez Castilloc, Loreto Maciá Solerb
Corresponding author
antonio.valero@ua.es
Correspondence: Mr A.V. Valero Marco, Servicio de Neumología (5.a planta, izqda.) Hospital General Universitario, Camí de l'Almazara, 11 03203 Elche, Alicante, Spain
Correspondence: Mr A.V. Valero Marco, Servicio de Neumología (5.a planta, izqda.) Hospital General Universitario, Camí de l'Almazara, 11 03203 Elche, Alicante, Spain
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Valero Marco, Servicio de Neumología (5.<span class="elsevierStyleSup">a</span> planta, izqda.) Hospital General Universitario, Camí de l'Almazara, 11 03203 Elche, Alicante, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-06-22" "fechaAceptado" => "2008-01-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155309" "palabras" => array:5 [ 0 => "Nursing" 1 => "Arterial blood gas analysis" 2 => "Pain" 3 => "Arterial puncture" 4 => "Anesthesia" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155310" "palabras" => array:5 [ 0 => "Enfermeria" 1 => "Gasometria arterial" 2 => "Dolor" 3 => "Puncion arterial" 4 => "Anestesia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Local anesthesia is rarely used in arterial puncture, even though it is recommended. The aim of this study was to examine attitudes and beliefs among nurses and third-year undergraduate nursing students in hospital training regarding the use of local anesthesia when performing arterial puncture and to assess their knowledge of the technique.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Nurses and nursing students were issued a 15-item questionnaire consisting of 2 parts. The first part contained questions on the nurse's use of local anesthesia when extracting arterial blood for analysis and the second part involved questions regarding technical knowledge of this test. The results of nurses from the respiratory medicine department, nurses from the rest of the hospital, and nursing students were compared.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The questionnaire was answered by the 131 the nurses surveyed. Valid questionnaires were returned by 17 of the 19 nursing students surveyed. Questionnaires returned by nurses from the respiratory medicine department (n=ll) were separated from those returned by the rest of nurses. Local anesthesia was used routinely by 7 nurses (5%), of whom 3 (27%) belonged to the respiratory medicine department; local anesthesia was not used by any of the nursing students. The main reasons given by nurses for not using local anesthesia were lack of knowledge (54%), need to perform 2 punctures when anesthesia is used (11%), belief that the same amount of pain is caused with anesthesia (8%), and success on the first attempt at arterial puncture (7%). The main reason given by student nurses for not using local anesthesia was also lack of knowledge (53%), followed by the fact that it was not used by the nurses (24%). Most of those surveyed (63%) indicated a desire to receive anesthesia should they undergo arterial puncture.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Local anesthesia is used very little in arterial puncture. Knowledge about how to perform arterial blood extraction for blood gas analysis is insufficient and needs to be improved among both nurses and nursing students. Nonetheless it is noteworthy that most of those surveyed indicated a preference for receiving local anesthesia if they were to undergo the procedure. These data should be taken into consideration when training nurses to perform arterial puncture.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque se recomienda el uso de anestesia local para la realización de la punción arterial, su empleo es muy escaso. El próposito del estudio ha sido conocer la actitud y los prejuicios sobre el empleo de la anestesia local para la realización de la punciósn arterial entre los profesionales de enfermeria y alumnos de tercer curso de la diplomatura de enfermeria en practices hospitalarias en nuestro hospital, asi como el grado de conocimiento de la técnica.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se pasó a enfermeros y estudiantes de enfermeria un cuestionario que constaba de 15 preguntas, divididas en 2 partes: una hacia referencia al uso de la anestesia local en la extractión de una gasometria arterial, y en la segunda se preguntaba por conocimientos técnicos de la prueba. Se compararon los resultados de los enfermeros de la Unidad de Neumologia con el resto de profesionales del hospital, asi como de los profesionales y estudiantes de enfermeria.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Contestaron el cuestionario los 131 enfermeros encuestados. De los 19 alumnos de tercer curso de enfermeria, fueron validas 17 encuestas. Del total de profesionales se separo a los enfermeros/as de la Unidad de Neumologia (n = 11). Utilizaban habitualmente anestesia local 7 profesionales (5%), de los que 3 (27%) pertenecian a la Unidad de Neumologia, mientras que ningún alumno de enfermeria la usaba. Entre los profesionales, los principales motivos para no utilizer la anestesia fueron: desconocimiento (54%), necesidad de realizar 2 punciones si se usa anestesia (11%), por considerar que produce el mismo dolor con anestesia (8%) y por acertar en la primera puncion (7%). En cuanto a los motivos de los alumnos de enfermeria, el principal fue, al igual que entre los profesionales, el desconocimiento (53%), seguido de la falta de uso por estos (24%). La mayoria de los encuestados (63%) querria que a ellos sé se les aplicase anestesia en la punción arterial.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El uso de la anestesia local es muy escaso. Los conocimientos sobre la realización de la gasometria arterial no son óptimos y deben mejorar tanto entre los profesionales como entre los estudiantes de enfermeria. Sin embargo, es de destacar que la mayoria de los entrevistados preferia que a ellos se les realizara la punción arterial con anestesia local. 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| 2019 February | 7 | 12 | 19 |
| 2019 January | 8 | 17 | 25 |
| 2018 December | 10 | 13 | 23 |
| 2018 November | 17 | 24 | 41 |
| 2018 October | 23 | 18 | 41 |
| 2018 September | 8 | 10 | 18 |
| 2018 May | 3 | 2 | 5 |
| 2018 April | 18 | 9 | 27 |
| 2018 March | 7 | 5 | 12 |
| 2018 February | 7 | 9 | 16 |
| 2018 January | 6 | 8 | 14 |
| 2017 December | 4 | 10 | 14 |
| 2017 November | 3 | 14 | 17 |
| 2017 October | 3 | 11 | 14 |
| 2017 September | 6 | 9 | 15 |
| 2017 August | 8 | 9 | 17 |
| 2017 July | 3 | 12 | 15 |
| 2017 June | 9 | 12 | 21 |
| 2017 May | 4 | 9 | 13 |
| 2017 April | 2 | 9 | 11 |
| 2017 March | 4 | 13 | 17 |
| 2017 February | 3 | 4 | 7 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 8 | 9 | 17 |
| 2016 November | 10 | 8 | 18 |
| 2016 October | 9 | 13 | 22 |
| 2016 September | 5 | 16 | 21 |
| 2016 August | 4 | 2 | 6 |
| 2016 July | 3 | 4 | 7 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 50 | 12 | 62 |
| 2015 September | 42 | 16 | 58 |
| 2015 August | 43 | 8 | 51 |
| 2015 July | 46 | 12 | 58 |
| 2015 June | 45 | 11 | 56 |
| 2015 May | 64 | 10 | 74 |
| 2015 April | 36 | 15 | 51 |
| 2015 March | 35 | 7 | 42 |
| 2015 February | 39 | 10 | 49 |
| 2015 January | 29 | 4 | 33 |
| 2014 December | 58 | 7 | 65 |
| 2014 November | 43 | 9 | 52 |
| 2014 October | 49 | 7 | 56 |
| 2014 September | 35 | 7 | 42 |
| 2014 August | 29 | 13 | 42 |
| 2014 July | 29 | 8 | 37 |
| 2014 June | 45 | 12 | 57 |
| 2014 May | 64 | 12 | 76 |
| 2014 April | 63 | 11 | 74 |
| 2014 March | 55 | 13 | 68 |
| 2014 February | 60 | 13 | 73 |
| 2014 January | 43 | 10 | 53 |
| 2013 December | 47 | 9 | 56 |
| 2013 November | 39 | 10 | 49 |
| 2013 October | 45 | 10 | 55 |
| 2013 September | 41 | 7 | 48 |
| 2013 August | 39 | 6 | 45 |
| 2013 July | 46 | 10 | 56 |
| 2013 June | 46 | 9 | 55 |
| 2013 May | 51 | 9 | 60 |
| 2013 April | 22 | 11 | 33 |
| 2013 March | 9 | 4 | 13 |
Show all
