Minimizing the Pain of Local Anesthesia

Arndt, Kenneth A.; Burton, Carla M.; Noe, Joel M.

doi:10.1097/00006534-198311000-00017

Cited by 112 publications

(37 citation statements)

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“…subcutaneous injection, 1 a level II evidence study showed that injecting intradermally produces more pain. 64 Stretching of the dense nociceptor-rich dermal tissue activates more pain fibers than stretching of the loose subcutaneous tissue. Pain can be minimized by injecting just beneath the dermis into the subcutaneous tissue (Fig.…”

Section: Inject Subdermally Instead Of Intradermallymentioning

confidence: 99%

“…Using the tree analogy, injecting beneath the dermis blocks the dermal nerves beneath the leaves at the trunk level. 64,65 By injecting just beneath the dermis into the subcutaneous tissue, injection pain can be minimized (Fig. 4).…”

Section: Inject Subdermally Instead Of Intradermallymentioning

confidence: 99%

“…45,50,64,66 Slowing the rate of injection can make the injection "virtually painless." 1,4 The pain of infiltration is from activated skin nociceptors 1 responding to rapid distention and stretching of the tissue.…”

Section: Inject Very Slowlymentioning

confidence: 99%

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Minimizing the Pain of Local Anesthesia Injection

Strazar

Leynes

Lalonde

2013

Plastic and Reconstructive Surgery

146

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There are now excellent techniques for minimizing anesthetic injection pain, with supporting evidence varying from anecdotal to systematic reviews. Medical students and residents can easily learn techniques that reliably limit the pain of local anesthetic injection to the minimal discomfort of only the first fine needlestick. By combining many of these conclusions and techniques offered in the literature, tumescent local anesthetic can be administered to a substantial area such as a hand and forearm for tendon transfers or a face for rhytidectomy, with the patient feeling just the initial poke.

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Section: Inject Subdermally Instead Of Intradermallymentioning

confidence: 99%

Section: Inject Subdermally Instead Of Intradermallymentioning

confidence: 99%

See 1 more Smart Citation

Minimizing the Pain of Local Anesthesia Injection

Strazar

Leynes

Lalonde

2013

Plastic and Reconstructive Surgery

146

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“…[1][2][3][4] Despite advances made in pain reduction with the administration of local anesthetics, considerable patient anxiety still exists regarding the initial pain caused by the puncture of the needle to the skin. 5 Such pain may be disruptive to both the patient and the surgeon, and previous studies in outpatient eye surgery have shown increased cooperation being correlated with reduced patient pain. 6 Because of the large influence intraoperative pain may have on patient behavior patterns before, during, and after an operation and their overall impressions of the surgical experience, efforts should be made to address concerns and minimize pain as much as possible.…”

mentioning

confidence: 99%

“…12 Recently, topical lidocaine gel has been proposed as an anesthetic choice for intravitreal drug injection, strabismus surgery, and LASIK, with studies showing superior efficacy when compared with previous standards of anesthesia. 5,13,14 The majority of minor eyelid procedures require local anesthesia. 15 Currently, it is common practice for many clinicians to use topical tetracaine or proparacaine eye drops to decrease conjunctival sensation prior to delivering transconjunctival eyelid anesthesia.…”

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confidence: 99%

Comparison of Lidocaine Gel–Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery

Rafailov

Kulak²,

Weedon³

et al. 2015

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Injectable Fillers in Aesthetic Medicine

Maio¹,

Rzany²

2006

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ForewordGary D. Monheit, M.D.The field of aesthetic medicine has been changing at such a rapid pace it has become hard to keep up with the latest trends and developments. Each decade has introduced new technologies that have made our practices safer, simpler and more efficacious. The 1980's were the decade of chemical peels; the 1990's the laser; but the two most innovative changes have come about from the aesthetic use of botulinum toxin in the 1990's and now the explosion of fillers in this era of the 21st century. From one or two fillers available twenty years ago, we now have a full cabinet of filling materials -both biodegradable and permanent -to meet each of our patient's needs. In the recent few years, fillers are emerging like spring flowers in a profusion of original devices, copycats and injection materials. It has become increasingly difficult for the clinician to sort through the marketing hype to find the real objective science -if it exists -on the newer agents. This is further complicated by the fact that CE certification does not require efficacy and safety data if comparable filling substances are already on the market. The reality is that most new aesthetic devices come from Europe, and it is difficult for us to evaluate what's new and what's good."Injectable Fillers in Aesthetic Medicine" provides a well-needed compendium as a complete yet very hands-on practical approach to the practice of fillers at this time. It fulfills an important niche by gathering information from many sources for the updated volume. Both, Dr. Berthold Rzany and Dr. Mauricio de Maio, are highly respected aesthetic researchers and clinicians. They have sorted through the technical data and marketing hype to provide truthful and practical information for you -the aesthetic clinician -for use in your practice.The volume is divided into usable chapters encompassing materials, patient selection, preparations, anesthesia, regional injections including techniques, combination therapy and complications with treatment. I highly recommend this compendium for both the novice clinician beginning a filler practice as well as those with long experience needing an update on the latest materials and techniques. This is the next best thing to a "hands-on" course from master clinicians. This reference on injectable dermal fillers is the first comprehensive manual for the practitioner. It is a perfect symbiosis of pragmatism, experience, and wisdom of two well-known scientists and practitioners from both continents Europe and South America. Today, information on aesthetic surgery is not limited to an exclusive group of injectors any more, but finds a broad, multi-disciplinary interest among many medical specialties. Increasingly, many non-traditional specialties such as gynecologists and dentists offer wrinkle treatment, whether in combination with antiaging medicine or rejuvenation of the frontal teeth.What is the optimal treatment for wrinkles? Many praises have been spread by the manufacturers and distributors regarding their own pro...

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Minimizing the Pain of Local Anesthesia

Cited by 112 publications

References 0 publications

Minimizing the Pain of Local Anesthesia Injection

Minimizing the Pain of Local Anesthesia Injection

Comparison of Lidocaine Gel–Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery

Injectable Fillers in Aesthetic Medicine

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