Just put a process into place to use 1 % lidocaine as pre-anesthetic for peripheral VADs. Each pt has to have a prn individual order. Once the order is in the chart, it remains throughtout hospitalization. I primarily use the lido for ultrasound pVADs. Patients that are not difficult access tend to say no to the lidocaine. Adoption by others is a work in progress. Patients are very satisfied, reporting "0" pain with VAD insertion but experience the burn with lido injection.
We use bacteriostatic NS for all of our US guided starts which includes PIVs, midlines and PICC lines. Our Surgery Center and Hospital Surgery preops use BSNS for every patient routinely. Getting the rest of the staff to use local anesthetic has been a challenge and is spotty. It is really a practice change and requires time to be comfortable with using the local, but the patients really appreciate it. We moved away from lidocaine several years ago due to the burning.
Just put a process into place to use 1 % lidocaine as pre-anesthetic for peripheral VADs. Each pt has to have a prn individual order. Once the order is in the chart, it remains throughtout hospitalization. I primarily use the lido for ultrasound pVADs. Patients that are not difficult access tend to say no to the lidocaine. Adoption by others is a work in progress. Patients are very satisfied, reporting "0" pain with VAD insertion but experience the burn with lido injection.
Nancy Rose
We use bacteriostatic NS for all of our US guided starts which includes PIVs, midlines and PICC lines. Our Surgery Center and Hospital Surgery preops use BSNS for every patient routinely. Getting the rest of the staff to use local anesthetic has been a challenge and is spotty. It is really a practice change and requires time to be comfortable with using the local, but the patients really appreciate it. We moved away from lidocaine several years ago due to the burning.