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Local Anaesthetic Pain Reduction Techniques: Difference between revisions
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See strazar et al for a good summary of minimising the pain of local anaesthesia | See [[:Media:strazar2013.pdf|strazar et al]] for a good summary of minimising the pain of local anaesthesia injection.<ref>{{#pmid:23985640}}</ref> | ||
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Revision as of 22:46, 13 April 2021
This article is a stub.
See strazar et al for a good summary of minimising the pain of local anaesthesia injection.[1]
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
