Anesthesia, Local Clinical Trial
Official title:
Trans-radial Cardiac Catheterization Local Anesthesia: an Observational Study
An open label observational clinical study to compare the efficacy of EMLA cream (lidocaine 2.5% and prilocaine 2.5% in a ratio of 1:1 by weight) in comparison to the established local anesthesia (LA) protocol of lidocaine subcutaneous injection, in providing adequate peri-operative local anesthesia during transradial coronary angiography
A total of 800 consecutive patients, who are referred for elective coronary angiography to
1st Cardiology Department cathlab, with the suspicion of coronary artery disease (CAD) will
be enrolled in this study. Exclusion criteria are acute coronary syndrome, previous
ipsilateral transradial approach, Raynaud's syndrome, abnormal renal function with or without
need for hemodialysis, known history of sensitivity to local anesthetics, non-palpable radial
pulse, abnormal Barbeau's test and patient's refusal. Baseline clinical, demographic and
procedural data of the study population will be recorded.
The study will not involve any intervention but it will observe patients assigned to other
EMLA cream or lidocaine injection for local anesthesia as part of their clinical routine
treatment during transradial catherization.
Primary end-point: the perception of radial pain assessed during artery puncture and 30
minutes after sheath removal. Secondary end-point: The number of puncture attempts, the total
time required before successful sheath insertion, and the occurrence of radial artery spasm
will be also documented in each group Participants will be observed for 4 hours post
angiography for development of local complications or side effects.
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