Original contributionBuffered versus plain lidocaine for digital nerve blocks
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Cited by (50)
Local Anesthetics
2020, Comprehensive Dermatologic Drug Therapy, Fourth EditionPharmacologic Agents Used in Image-Guided Interventions
2020, Image-Guided Interventions: Expert Radiology Series, Third EditionComparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures: A Randomized Clinical Trial
2018, ChestCitation Excerpt :We chose to use lidocaine on the skin surface as opposed to any other liquid solution because this medication is readily available for any procedure that uses lidocaine injection and does not require extra steps such as warming the lidocaine solution or mixing it with sodium bicarbonate. Although other studies have shown that changes to lidocaine can reduce pain with local infiltration, these require manipulations such as warming or buffering, which involve extra time, expense, and equipment not readily available in commercially purchased procedure kits.5-8 Accordingly, they are not practical for routine use.
Local anesthetics
2012, Comprehensive Dermatologic Drug Therapy: Expert Consult - Online and PrintPain management in the emergency department
2011, Essentials of Pain MedicineA Randomized, Crossover Comparison of Injected Buffered Lidocaine, Lidocaine Cream, and No Analgesia for Peripheral Intravenous Cannula Insertion
2009, Annals of Emergency MedicineCitation Excerpt :It induces nearly immediate local anesthesia but does require an additional needlestick. Buffering lidocaine to a neutral pH, injecting slowly through a small needle, using the smallest volume necessary, and warming to body temperature each significantly reduces the pain experienced during injection of this anesthetic.13-31 Although local anesthetic techniques have been shown to decrease pain and anxiety during IV placement,20,32-35 they are often not used routinely in either adults or children, which may be due to time constraints, difficulty with their application, perceived ineffectiveness, a belief that use of local anesthesia makes it more difficult to place IVs, or a belief by health care providers that the pain of IV insertion is insignificant.36
Presented at the Society for Academic Emergency Medicine Annual Meeting in Toronto, Ontario, Canada, May 1992.