The Observation of the Effect of Lidocaine Combined with Homemade Warm Compress Sleeve in Alleviating Venous Catheter-Related Injuries in Otolaryngology Surgery Patients

Abstract

To assess lidocaine’s combined impact with a self-crafted hot compress cuff in diminishing venous indwelling needle injuries during otolaryngology surgeries. 70 patients undergoing otolaryngology surgeries at our hospital between July 2020 and September 2022 were chosen. All underwent venous indwelling needle procedures. Equally divided into an control group (CG) and an experimental group (EG), each with 35 cases, the CG received standard intervention with lidocaine, while the EG received additional self-made hot compress sleeves. Evaluation parameters included changes in skin temperature at the infusion site, needle indwelling duration, phlebitis incidence, needle blockage, pain, and comfort. The EG exhibited significantly higher skin temperatures at the infusion site compared to the CG (P <0.05). Needle indwelling duration was notably prolonged in the EG versus the CG (P <0.05). Phlebitis incidence was notably lower in the EG (14.29%) than the CG (37.14%) (P <0.05). No significant difference was found in needle blockage rates between groups (25.71% in CG, 17.14% in experimental) (P > 0.05). Pain scores were notably lower, and comfort scores were higher in the EG (all, P < 0.05). Combining lidocaine with a self-made hot compress cuff significantly mitigates venous indwelling needle injuries in otolaryngology surgeries. This combined approach enhances skin temperature, extends needle indwelling time, reduces phlebitis and needle blockage risks, alleviates patient discomfort, and elevates overall comfort during venous indwelling needle procedures.