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Prior injection of local anaesthetic and the pain and success of intravenous cannulation
  1. Ross Murphy,
  2. Simon Carley
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road,Manchester M13 9WL

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    Report by Ross MurphySpecialist Registrar Search checked by Simon Carley, Specialist Registrar

    Clinical scenario

    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 …

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