Anaesthesia for arterial puncture in the emergency department: A randomized trial of subcutaneous lidocaine, ethyl chloride or nothing

European Journal of Emergency Medicine

Volumn 15, Issue 4, 2008, Pages 218-220

  France, James E ^a   Beech, Fiona J M ^b   Jakeman, Nicola ^a   Benger, Jonathan R ^c  

^a ROYAL UNITED HOSPITAL   (United Kingdom)

^b FRENCHAY HOSPITAL   (United Kingdom)

^c BRISTOL ROYAL INFIRMARY   (United Kingdom)

Author keywords

Arterial puncture; Ethyl chloride; Lidocaine; Local anaesthesia; Randomized

Indexed keywords

CHLOROETHANE; CRYOGESIC; LIDOCAINE; UNCLASSIFIED DRUG; LOCAL ANESTHETIC AGENT;

ADULT; AGED; ANALGESIA; ARTERIAL BLOOD; ARTERY PUNCTURE; ARTICLE; BLOOD SAMPLING; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFICACY; DRUG INTERMITTENT THERAPY; EMERGENCY WARD; FEMALE; HUMAN; INJECTION PAIN; INJECTION SITE PAIN; LOCAL ANESTHESIA; MALE; PAIN; PAIN ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TREATMENT RESPONSE; URBAN AREA; VISUAL ANALOG SCALE; ARTERY; CONFIDENCE INTERVAL; EMERGENCY HEALTH SERVICE; METHODOLOGY; MIDDLE AGED; PUNCTURE; STATISTICS; SUBCUTANEOUS DRUG ADMINISTRATION; TREATMENT OUTCOME;

ADULT; AGED; AGED, 80 AND OVER; ANESTHETICS, LOCAL; ARTERIES; BLOOD SPECIMEN COLLECTION; CONFIDENCE INTERVALS; EMERGENCY SERVICE, HOSPITAL; ETHYL CHLORIDE; FEMALE; HUMANS; INFUSIONS, SUBCUTANEOUS; LIDOCAINE; MALE; MIDDLE AGED; PAIN; PAIN MEASUREMENT; PUNCTURES; TREATMENT OUTCOME;

EID: 64849096669     PISSN: 09699546     EISSN: None     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e3282f4d19b     Document Type: Article

References (13)

1. Turner JS, Briggs SJ, Springhorn HE, Potgieter PD. Patient's recollection of intensive care unit experience. Crit Care Med 1990; 18:966-968.
2. British Thoracic Association. Deaths from asthma in two regions in England. BMJ 1982; 285:1251-1252.
3. Johnson AJ, Nunn AJ, Somner AR, Stapleforth DE, Stewart CJ. Circumstances of death from asthma. BMJ 1984; 288:1870-1872.
4. Tran NQ, Pretto JJ, Worsnop CJ. A randomised trial of the effectiveness of topical amethocaine in reducing pain during arterial puncture. Chest 2002; 122:1357-1360.
5. Smith M, Gray BM, Ingram S, Jewkes DA. Double-blind comparison of lignocaine-prilocaine cream (EMLA) and lignocaine infiltration for arterial cannulation in adults. Br J Anaesth 1990; 65:240-242.
6. Lightowler JVJ, Elliott MW. Local infiltration prior to arterial puncture for blood gas analysis: a survey of current practise and a randomised double blind placebo controlled trial. J R Coll Phys London 1997; 31:645-646.
7. British Thoracic Society and Association of Respiratory Technicians and Physiologists. Guidelines for the measurement of respiratory function. Resp Med 1994; 88:165-194.
8. Armstrong P, Young C, McKeown D. Ethyl chloride and venepuncture pain: a comparison with intradermal lidocaine. Can J Anaesth 1990; 37: 656-658.
9. Selby IR, Bowles BJM. Analgesia for venous cannulation: a comparison of EMLA (5 min application), lignocaine, ethyl chloride, and nothing. J R Soc Med 1995; 88:264-267.
10. Ramsook C, Kozinete CA, Moro Sutherland D. Efficacy of ethyl chloride as a local anaesthetic agent for venepuncture & intravenous cannula insertion in a paediatric emergency department. Paediatr Emerg Care 2001; 17:341-343.
11. Zappa SC, Nabors SB. Use of ethyl chloride topical anaesthesia to reduce procedural pain in paediatric oncology patients. Cancer Nurs 1992; 15:130-136.
12. Ho K, Spence J, Murphy MF. Review of pain-measurement tools. Ann Emerg Med 1996; 27:427-432.
13. Quaba O, Huntley JS, Bahia H, McKweon DW. A users guide for reducing pain of local anaesthetic administration. Emerg Med J 2005; 22:188-189.