Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures

Patel, Bhakti; Wendlandt, Blair; Wolfe, K.S.; Patel, Shruti; Doman, Elizabeth R; Pohlman, Anne S.; Hall, Jesse B.; Kress, John P.

doi:10.1016/j.chest.2018.04.018

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…Patel et al5 compared 2 lidocaine administration techniques on perceived pain from bedside procedures. In this single-center randomized controlled trial, the researchers evaluated the pain perception of traditionally administering subcutaneous lidocaine versus dripping 1 to 2 mL of room-temperature lidocaine onto the skin immediately before lidocaine injection.…”

Section: Review Of Literaturementioning

confidence: 99%

Changing the Buffer in Buffered Lidocaine

Plohal

Dutchover

Root

et al. 2022

Journal of Infusion Nursing

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Hospitalized patients require venous access for procedures, treatments, or therapies. The use of lidocaine for pain relief during central vascular access device (CVAD) insertion is a standard of practice. Lidocaine buffered with sodium bicarbonate has been shown to provide significantly more pain relief in the sensation of pain upon injection. Shortages of lidocaine with bicarbonate provided an opportunity to explore other options to provide pain relief during CVAD insertion. The PICO question for this project was: In adult patients requiring CVAD insertion, how does lidocaine buffered with bicarbonate compare with lidocaine buffered with saline in minimizing pain with lidocaine injection? This study assessed how lidocaine buffered with bicarbonate compares with lidocaine buffered with saline in minimizing pain with lidocaine injection. Sixty patients received the buffered lidocaine before having a peripherally inserted central catheter inserted. Thirty patients received lidocaine buffered with bicarbonate and 30 patients received lidocaine buffered with saline. Pain and vasoconstriction were the 2 outcomes monitored during the project. Although the trial was only 2 wk due to the urgency of the rollout, the pilot was able to offer clinicians the opportunity to compare the 2 products. The saline-buffered lidocaine provided comparable pain relief compared with the lidocaine buffered with bicarbonate. The clinicians also measured the amount of vasoconstriction caused by the 2 products with similar outcomes.

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Section: Review Of Literaturementioning

confidence: 99%

Changing the Buffer in Buffered Lidocaine

Plohal

Dutchover

Root

et al. 2022

Journal of Infusion Nursing

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“…En cuanto al papel de los dispositivos de estimulación sensorial en el alivio del dolor, las estrategias físicas se basan en la modulación de la sensación de dolor, transmitida por las fibras Aδ y C, mediante estimulación no nociva de termorreceptores (temperatura) y mecanorreceptores (fibras Aβ; presión, vibración y tacto fino), activando interneuronas inhibitorias que bloquean la aferencia de la señal dolorosa, fenómeno conocido como teoría de la compuerta del dolor 30 .…”

Section: Estrategias No Farmacológicas Para El Manejo Del Dolorunclassified

Estrategias no farmacológicas como adyuvantes para manejo del dolor agudo por punción en pediatría

Orellana

Alvanés

Acosta

et al. 2022

Alerta (San Salvador)

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El dolor en pediatría es un problema de salud pública que afecta al 78 % de pacientes hospitalizados y está frecuentemente asociado a punciones, por lo que es necesario un control rápido y efectivo. Existen en la actualidad estrategias psicológicas y físicas de estimulación sensorial para abordarlo. Se pretende describir el uso de estas como coadyuvantes en el manejo del dolor agudo por punción en pediatría. Se realizó una revisión narrativa de artículos originales y revisiones bibliográficas. El mecanismo del dolor involucra a las fibras C y a las fibras Aδ, que responden al dolor por punción. Entre las estrategias innovadoras se encuentra el dispositivo Buzzy®, que actúa mediante la teoría de compuerta del dolor, desviando la atención del dolor hacia un estímulo sensorial placentero (frío y vibración) que disminuye la intensidad en comparación con anestésicos locales (p < 0,001); así mismo, la realidad virtual desvía la atención del niño hacia un estímulo placentero, visual o auditivo, creando un ambiente tridimensional y produciendo analgesia por distracción en comparación al control (p < 0,05). El uso de estrategias no farmacológicas como coadyuvantes para el manejo de dolor por punción son efectivas para disminuir el dolor en el paciente pediátrico, así como el estrés y la ansiedad, tanto en los padres como en el personal de salud.

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“…During thoracentesis and abdominocentesis, pain management is routinely managed with 1% lidocaine with a 25 gauge needle for skin and a smaller gauge needle for deeper tissue (2,3). As the anesthetic injection is painful in and of itself (4), during these two procedures, pain management can sometimes fall short due to a lack of education and incorrect personal opinions (1,5). One such example is "one needle insertion can cause less pain than two-needle insertions" (5).…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effect of Lidocaine-Prilocaine Cream and Infiltrative Lidocaine on Overall Pain Perception During Thoracentesis and Abdominocentesis: A Randomized Clinical Trial

et al. 2020

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Background: Acute pain management is a core ethical commitment to medical practice. However, there is evidence to suggest that sometimes infiltrative lidocaine (IL) is not used prior to thoracentesis and abdominocentesis due to the belief that two needles cause greater pain than one. However, topical anesthetics like lidocaine-prilocaine cream (LPC) are painless, easy to use, and have less systemic side effects. Therefore, LPC can be a suitable substitute for medical procedures. Objectives: This study was designed to compare the analgesic effects of LPC with IL in thoracentesis and abdominocentesis. Methods: Patients were divided into two study groups, including individuals seeing a physician for a thoracentesis (N = 36) and those seeing a physician for an abdominocentesis (N = 33). Patients were randomly assigned to the IL (N = 35) or LPC (N = 34) groups for diagnostic and/or therapeutic purposes. The IL group received 100 mg of 2% lidocaine 5 minutes prior to their procedure, whereas the LPC group received 2.5 g of lidocaine-prilocaine cream. The cream was spread over a 20 - 25 cm2 area and occluded with dressing plaster for 30 minutes prior to the procedure. In both study groups, the thoracentesis and abdominocentesis were ultrasound-guided. Results: The findings suggest a non-significant difference between overall pain perception in LPC and IL groups generally, as well as specifically in abdominocentesis and thoracentesis groups. Furthermore, the result remained the same after controlling for confounding variables. The number of attempts to perform successful abdominocentesis was significantly higher in the LPC than IL (P-value = 0.003) group but was not significant in the thoracentesis group (P-value = 0.131). The level of patient satisfaction in the LPC and IL groups were not significantly different (P-value > 0.05). Conclusions: Overall, LPC appears to be an appropriate alternative to IL in reducing pain during thoracentesis and abdominocentesis, but it seemed to increase unsuccessful medical procedure attempts.

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Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures

Abstract: ClinicalTrials.gov; No.: NCT01330134; URL: www.clinicaltrials.gov.

Cited by 7 publications

References 32 publications

Changing the Buffer in Buffered Lidocaine

Changing the Buffer in Buffered Lidocaine

Estrategias no farmacológicas como adyuvantes para manejo del dolor agudo por punción en pediatría

Comparing the Effect of Lidocaine-Prilocaine Cream and Infiltrative Lidocaine on Overall Pain Perception During Thoracentesis and Abdominocentesis: A Randomized Clinical Trial

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