© 2000 the Emergency Medicine Journal
Best evidence topic report
Prior injection of local anaesthetic and the pain and success of intravenous cannulation
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road,Manchester M13 9WL
Report by Ross MurphySpecialist Registrar Search checked by Simon Carley, Specialist Registrar
A 45 year old woman attends the emergency department with cellulitis. You decide to admit her for intravenous antibiotics. She becomes agitated, distressed and tearful when you explain this to her. On questioning she reveals that she is afraid of the pain of intravenous cannulation. You wonder whether a prior injection of local anaesthetic would lessen the pain of cannulation without affecting your chances of success.
In [a patient requiring intravenous cannulation] will [a prior injection of local anaesthetic] reduce [the pain of cannulation without effecting the chance of successful cannulation]?
Medline 1966–07/00 using the OVID interface. [Venflon.mp OR cannula.mp or exp catheterization, peripheral OR exp infusions, intravenous OR exp injections, intravenous] AND [local anaesthetics.mp OR exp anaesthetics, local OR exp bupivicaine OR exp lidocaine OR exp procaine OR exp tetracaine] AND [pain.mp OR exp pain]. LIMIT to human and english language AND abstracts.
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