Efeitos da anestesia vibratória na intensidade da dor durante a aplicação da carboxiterapia em pacientes com celulite

Abstract

Introduction: Cellulite is one of the most common aesthetic disorders in clinical practice. Carboxytherapy is a new and promising therapy for treatment of this disorder, the administration is subcutaneously through needles, which can generate local pain and that is considered the main limiting fator in clinical practice. Vibration anestesia has desmonstrated effectiveness during painful procedures but it has not yet been investigated in relieving pain associated with carboxytherapy. Objective: To asses the effects of vibration anesthesia on pain intensity associated with the application of carboxytherapy in celulite. Methods: This is a randomized clinical trial that was carried out with 52 women, between 18 and 49 years old, with no previous experience with carboxytherapy therapy, with the presence of moderate and/or severe cellulite in the gluteal region, according to the Cellulite Severity Scale. The patients were randomly distributed into two groups, the vibration group and the control group. For the intervention, the depressions of the skin with cellulite were demarcated and the delimitation of the gluteal area was carried out for the infiltration of CO2, through needles, with an angle of 45º and programmed flow of 80 ml/min, whose volume of gas infused by puncture was 50ml. The vibration device used was a Vibrata® brand, with a flat-shaped tip, measuring 3cm in size, with frequency (f) 6,000 vibrations per minute. The application of the vibration anesthesia device in the vibration group was started 5 seconds before the start of the puncture, and remained on until the end of each puncture. The device was positioned approximately 2 cm away from the needle throughout the procedure. Results: The women were divided into two groups and the mean pain was measured in their respective quadrants in both groups. The mean pain intensity in the vibration group was 4.95 (2.37) and in the control group 4.98 (2.43). Conclusions: Vibration anesthesia did not reduce pain intensity when compared to the control group.