Minimizing Pain During Cath Lab Procedures

Start Page: 
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End page: 
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Author(s): 

Patricia Sterett, MSN, RN, BC, OSF Saint Anthony Medical Center, Rockford, Illinois

Conclusion

Warmed, buffered lidocaine during all procedures that involve awake patients in the CCL and angiography suites has become the standard of care at OSF SAMC. Patient self-report of pain is also used, with the majority of our patients stating that they had either 0/10 pain with solution infiltration or mild discomfort. The use of warmed, buffered lidocaine as a local anesthetic has been shown to reduce discomfort versus plain lidocaine. 

These results have generalizability in the CCL patient population. The practice change has replaced what was termed the most unpleasant part of the procedure for the patient with either mild or no discomfort. Focusing on improving pain control measures for this patient population has been beneficial not only for patients, but for practitioners, as we strive to alleviate as much pain and discomfort for our patients as possible and become more aware of how our action affect our patients. n

The author may be contacted at [email protected]

This article received double-blind peer review from members of the Cath Lab Digest Editorial Board.

References 

1. HCAHPS Survey Instruments. Available online at http://www.hcahpsonline.org/surveyinstrument.aspx. Accessed October 1, 2012.

2. Watson J. Nursing: Human science and human: A theory of nursing. New York: National League for Nursing; 1988.

3. Mader TJ, Playe SJ, Garb JL. Reducing the pain of local anesthetic infiltration: warming and buffering have a synergistic effect. Ann Emerg Med. 1994 Mar;23(3):550-554.

4. Bartfield JM, Crisafulli KM, Raccio-Robak N, Salluzzo RF. The effects of warming and buffering on pain of infiltration of lidocaine. Acad Emerg Med. 1995 Apr;2(4):254-258.

5. Colaric KB, Overton DT, Moore K. Pain reduction in lidocaine administration through buffering and warming. Am J Emerg Med. 1998 Jul;16(4):353-356.

6. Jones JS, Plzak C, Wynn BN, Martin S. Effect of temperature and pH adjustment of bupivacaine for intradermal anesthesia. Am J Emerg Med. 1998 Mar;16(2):117-120.


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