Minimizing the pain in local anesthesia injection – A review

Authors

  • Sajad Ahmad Salati

Keywords:

Local injection, pain, buffer, pH, lignocaine, needle, distraction, spray

Abstract

Local anesthesia is widely used in dermatological surgery. But a major concern with their use is the pain experienced by the patients at the time of injection. Various tips and tricks have been published in various studies to minimize this pain .The present review article is written to revisit those tips in the light of the recent literature.

References

Park KK. Minimize that “Pinch and Burn”: Tips and tricks to reduce injection pain with local anesthetics. Am J Orthop. 2015; 95:E28-E29.

Krathen RA, Donnelly HB. Warmed local anesthetic for dermatologic surgery. Dermatol Surg. 2008;34:1239-40.

Sultan J. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. The effect of warming local anaesthetics on pain of infiltration. Emerg Med J. 2007;24:791-3.

Hogan ME, vanderVaart S, Perampaladas K, Machado M, Einarson TR, Taddio A. Systematic review and meta-analysis of the effect of warming local anesthetics on injection pain. Ann Emerg Med. 2011;58:86- 98.e1.

Allen MJ, Bunce C, Presland AH. The effect of warming local anaesthetic on the pain of injection during sub-Tenon's anaesthesia for cataract surgery. Anaesthesia. 2008;63:276- 8.

Bell RW, Butt ZA. Warming lignocaine reduces the pain of injection during peribulbar local anaesthesia for cataract surgery. Br J Ophthalmol. 1995;79:1015-7.

Frank SG, Lalonde DH. How acidic is the lidocaine we are injecting, and how much bicarbonate should we add? Can J Plast Surg. 2012;20:71-3.

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Published

2016-11-17

How to Cite

1.
Salati SA. Minimizing the pain in local anesthesia injection – A review. J Pak Assoc Dermatol [Internet]. 2016Nov.17 [cited 2024Apr.18];26(2):138-42. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/56

Issue

Section

Review Articles

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