Minimizing Pain During Cath Lab Procedures

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


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.


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