◔
Local Anaesthetic Pain Reduction Techniques: Difference between revisions
From WikiMSK
No edit summary |
|||
Line 30: | Line 30: | ||
==Resources== | ==Resources== | ||
{{PDF|strazar2013.pdf|title=Minimizing the Pain of Local Anesthesia Injection - Strazar et al 2013 | {{PDF|strazar2013.pdf|title=Minimizing the Pain of Local Anesthesia Injection - Strazar et al 2013<ref>{{#pmid:23985640}}</ref>}} | ||
==References== | ==References== | ||
[[Category:General Procedure Concepts]] | [[Category:General Procedure Concepts]] |
Revision as of 03:24, 15 March 2022
This article is a stub.
Solution Preparation
- Buffer the lidocaine with sodium bicarbonate.
- Warm the local anaesthetic
Equipment Factors
- Use fresh needles with repeated injections
- Use a small diameter needle
Patient Preparation
- Distraction
- Patient looks away
Reducing Needle Puncture Pain
- Topical anaesthetic creams
- Cooling with ice
- Tactile distraction
- Inject into subcutaneous fat if there is an open wound
- Insert needle perpendicularly to the skin
Reducing Injection Pain
- Stabilise the syringe holding hand to reduce needle movement
- Inject subdermally instead of intradermally
- Inject a small bleb and then pause
- Inject very slowly
- Keep the local anaesthetic wheal 10mm ahead of the needle tip
- Reinsert the needle only within 1cm of the blanched skin border
- Learn by asking all patient to score their injeciton pain
Resources
strazar2013.pdf - 908 KB (f)