Document Detail

Use of local anesthesia for arterial punctures.
MedLine Citation:
PMID:  17053266     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Except for intravenous therapy, arterial access is the most common invasive procedure performed on critically ill patients. Arterial puncture is a source of pain and discomfort. Intradermal injection of lidocaine around the puncture site decreases the incidence and severity of localized pain when used before arterial puncture. OBJECTIVE: To review the recommendations and studies related to the use of intradermal lidocaine to decrease pain during arterial punctures. METHODS: Articles were identified by doing a systematic computerized search of MEDLINE (1980 to January 2006) to evaluate articles and reference lists of articles and a manual search of the references listed in original and review articles. English-language articles that evaluated any aspect of pain related to arterial puncture and cannulation, pain related to and methods of introducing lidocaine subcutaneously, and perceptions and use of local anesthesia for arterial or intravenous punctures were reviewed. RESULTS: Except among anesthesia providers, the use of a local anesthetic before arterial puncture is not universal, contrary to the standard of practice. A number of false perceptions may prevent wider use of such anesthetics. CONCLUSION: Before a plan for behavior modification or policy change is recommended for use of local anesthesia to decrease pain associated with arterial puncture, further research must be done to determine nurses' perceptions of use, actual practice, and currently established local policies.
Timothy L Hudson; Susan F Dukes; Karen Reilly
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of critical care : an official publication, American Association of Critical-Care Nurses     Volume:  15     ISSN:  1062-3264     ISO Abbreviation:  Am. J. Crit. Care     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2007-01-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9211547     Medline TA:  Am J Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  595-9     Citation Subset:  IM; N    
US Army, Fort Bragg, NC 28307, USA.
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MeSH Terms
Anesthetics, Local / therapeutic use*
Lidocaine / therapeutic use*
Pain / etiology,  prevention & control*
Practice Guidelines as Topic
Punctures / adverse effects*,  instrumentation
Reg. No./Substance:
0/Anesthetics, Local; 137-58-6/Lidocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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