I am the Coordinator for the Tacoma General IV Therapy Team and we are trying to find out what types of pain control measures other facilities are using for both peds and adults prior to IV's, port access, lab draws etc. At the present time, we use buffered lidocaine intradermally for adults and Pain Ease, LMX, and EMLA for peds. Does anyone have other options that may be working better for them that we can look into/consider? Please let me know! Thanks.
Have you assesses LidoSite from B Braun or the Synera from Endo Pharmaceuticals?
No personal experience with them but just a couple of new technologies to look at.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Mersadies Wright, RN, BSN, VA-BC
I work at a large pediatric facility, and currently we are using the J-tip. The patients and IV team love it. It works immediately...no wait time...and patients don't feel any poke at all. We have also used synera, but are phasing it out. I'm told it's due to cost. We also have LMX and EMLA available, but use them much less frequently.
What is J-tip? Have not heard of it.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
We use predominantly LMX4. Synera is also available in some areas but I prefer not to use due to it's limitations and cost.
I am planning to look at J-tip. There is also a product called Zingo which also delivers Lidocaine under pressure. I have not used it but was not impressed with the device initially.
We do not use any spray analgesic, not do we use EMLA because of the time to effectiveness.
Would anyone respond with the actual generic name for LMX4? I can't find it under lidocaine.
Thanks
Celia Brown
Check out Zingo, by Anesiva.
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
I work in ca children's hospital. We use a variety of TLAs. LMX4 is made by Ferndale labs. It is also available OTC, so perhaps tht is why it is not popping up. Below is a contact for you on the product.
Erika L. Sykes │ Associate Product ManagerEloquest Healthcare, Inc.│ a Ferndale Pharma Company780 West Eight Mile Road │ Ferndale, MI 48220Phone: 248.586.8424 │Fax: 248.548.8427Toll Free: 877.433.7626 ext. 424[email protected]
You may also consider the use of sucrose 24% in infants less than 6m (common product names are sweeteze or toot sweet).
Linda Tirabassi MN RN
Pediatric CNS
Miller Children's Hospital
Long Beach CA
Linda Tirabassi PhD RN CNS CPNP