Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue Journal of Clinical Medicine Année : 2020

Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography

Caroline Birgy
  • Fonction : Auteur
Antonin Trimaille
  • Fonction : Auteur
Nathan Messas
  • Fonction : Auteur
Jessica Ristorto
  • Fonction : Auteur
Anas Kayali
  • Fonction : Auteur
Benjamin Marchandot
  • Fonction : Auteur
Thomas Cardi
  • Fonction : Auteur
Sébastien Hess
  • Fonction : Auteur
Marion Kibler
  • Fonction : Auteur
Laurence Jesel
  • Fonction : Auteur
  • PersonId : 1118747
Patrick Ohlmann
  • Fonction : Auteur
  • PersonId : 1084292
Olivier Morel
  • Fonction : Auteur
  • PersonId : 1102510

Résumé

With respect to the transfemoral approach, transradial procedures enable a drastic reduction of bleeding events and are associated with a reduction of mortality. Radial artery spasm (RAS) is one of the most common complications and may lead to patient discomfort and procedural failure. Currently, there is no consensus on the optimal sedation protocol to avoid RAS. The aim of this study was to investigate the respective impact of opioids analgesia and inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox) on pain and occurrence of RAS during transradial coronary procedures. Consecutive patients undergoing transradial coronary angiography were prospectively enrolled in one, single center observational study (Nouvel Hôpital Civil, Strasbourg, France). Patients received opioids analgesia or inhalation sedation with Kalinox. The primary endpoints of the study were the incidence of a pain scale ≥5/10 and the occurrence of RAS. The secondary endpoints were the incidence of side effects. A total of 325 patients were enrolled (185 in the opioids analgesia group, 140 in the Kalinox group). RAS and pain scale ≥5 rates were not significantly different in the opioids analgesia and Kalinox groups (respectively 13.5% vs. 10.0% and 16.2% vs. 11.4%). Headache was more frequently observed in the Kalinox group (6.4% vs. 0.0%; p = 0.002). By multivariate analysis, female gender, BMI <25 kg/m2, puncture difficulty, the use of plastic needle and 6F sheath were identified as independent predictors of RAS. Procedural inhalation sedation by Kalinox is as safe as opioids analgesia during transradial coronary angiography.
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Dates et versions

hal-03935571 , version 1 (11-01-2023)

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Caroline Birgy, Antonin Trimaille, Nathan Messas, Jessica Ristorto, Anas Kayali, et al.. Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography. Journal of Clinical Medicine, 2020, 9 (9), pp.2747. ⟨10.3390/jcm9092747⟩. ⟨hal-03935571⟩

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