RT Journal Article SR Electronic T1 A users guide for reducing the pain of local anaesthetic administration JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 188 OP 189 DO 10.1136/emj.2003.012070 VO 22 IS 3 A1 O Quaba A1 J S Huntley A1 H Bahia A1 D W McKeown YR 2005 UL http://emj.bmj.com/content/22/3/188.abstract AB Local anaesthetics (LAs) are used by medical practitioners in a number of clinical settings. The choice of agent and mode of administration is influenced by their experience, speciality and knowledge of the evidence base. Patients often express concern about the discomfort experienced during injection. Although short lived, the pain of LA administration in some patients is severe enough for them to decline future surgery. Methods to minimise the pain of LA administration relate to (1) the patient, (2) the LA, and (3) the injection technique (table 1). This article aims to provide a practical guide to doctors of all specialities who use LAs.