More needles less pain: The use of local anaesthesia during emergency arterial sampling

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• 作者：Ruslan Zinchenko¹ ; ^{ruslan@doctors.org.uk" class="auth_mail" title="E-mail the corresponding author} ; Nicolaas Jacobus Prinsloo¹ ; Anton Zarafov¹ ; Maciej Grzesiak¹ ; Anthony Cohn²
• 关键词：Arterial blood gas sampling ; Pain reduction ; Local anesthetic ; British Thoracic Society guidelines ; Needle size
• 刊名：Journal of Acute Disease
• 出版年：2016
• 出版时间：1 May 2016
• 年：2016
• 卷：5
• 期：3
• 页码：244-247
• 全文大小：508 K

文摘

To explore the attitudes toward the use of local anesthetic (LA) in arterial blood gas sampling and the awareness and adherence to British Thoracic Society guidelines.

Methods

An anonymous eight-item survey was distributed among medical professionals in two teaching and two district general hospitals.

Results

In total 153 medical professionals were surveyed. Sixty-five percent have never had any training in administering LA. Most thought that arterial blood gas sampling was either “quite painful” (61%) or “extremely painful” (20%). However, 58% believed that patients should only “sometimes” be offered LA. Over half of the respondents (56%) never used LA before arterial blood gas sampling and 34% only used it “sometimes”. The majority (53%) stated that they would “sometimes” use LA in the future and 23% said that they would never use it.

Conclusions

Our results demonstrated that British Thoracic Society guidelines are not followed across the four hospitals. Despite the acknowledgment of arterial sampling being a painful procedure and the belief that patients should be offered LA at least “sometimes”, over half of the respondents never use it. Addressing the above-mentioned issues by introducing local guidelines and teaching sessions, as well as making LA more available, will help make this practice routine.