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Local Anaesthetic Pain Reduction Techniques: Difference between revisions
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==Solution Preparation== | ==Solution Preparation== | ||
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*Reinsert the needle only within 1cm of the blanched skin border | *Reinsert the needle only within 1cm of the blanched skin border | ||
*Learn by asking all patient to score their injeciton pain | *Learn by asking all patient to score their injeciton pain | ||
==Resources== | |||
{{PDF|strazar2013.pdf|Minimizing the Pain of Local Anesthesia Injection - Strazar et al 2013|caption=From the plastic surgery literature but many of the same principles apply <ref>{{#pmid:23985640}}</ref>}} | |||
==References== | ==References== | ||
[[Category:General Procedure Concepts]] | |||
[[Category: | |||
Latest revision as of 14:21, 16 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
From the plastic surgery literature but many of the same principles apply [1]
