title: Subcutaneous lidocaine delivered by jet-injector for pain control before IV catheterization in the ED: the patients' perception and preference.
abstract: To evaluate patients' perceptions and preferences concerning pain control during intravenous (IV) catheterization, a sample of 50 adult patients received subcutaneous lidocaine (0.2 mL 1%) by jet injector, or no anesthetic with a sham injection before IV catheterization. Visual analog scale (VAS), pain intensity score (PIS), and adverse reactions were recorded. A significant difference existed in the scores of patients who received lidocaine versus those who did not VAS (P <.001) PIS (P <.004). Patients' receiving lidocaine via jet-injector experienced more minor and potentially preventable adverse effects such as mild bruising and trauma to the veins. Patients in both groups (84% overall) preferred local anesthesia based on this experience. Using the jet-injector to provide local anesthesia before IV catheterization in the ED is effective, fast, and does not require sharps disposal and handling precautions.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002406:Catheterization, Peripheral / Q000639:trends; D016503:Drug Delivery Systems / Q000639:trends; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007277:Injections, Jet / Q000639:trends; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000517:prevention & control* / Q000523:psychology; D010147:Pain Measurement; D017060:Patient Satisfaction; D010465:Perception; D011446:Prospective Studies; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D008012:Lidocaine