Buffering lidocaine does decrease the stinging sensation. The
huge risk though is using a multidose vial for multiple patients.
Everything now says single dose vials for everything due to the
well-documented risk of disease transmission from multidose vials.
Buffered lidocaine should be admixed in the pharmacy under the hood.
Lynn
At 12:39 PM -0400 8/14/06, Monahan, Maggie wrote:
For those of you who use buffered Lidocaine, who mixes the solution, and how much Lidocaine and Bicarb are used? Do you obtain a vial for each PICC line insertion? I use the Lidocaine in the Bard kit, but the "sting" seems to be the greatest complaint I receive. I inject ~2-3cc of the Lidocaine and inject in the area surrounding the vein. Most of my patients relate that they do not feel anything after the initial "bee or wasp sting." Does buffering the Lidocaine eliminate this problem, or just lessen it?
Maggie Monahan RN,MSN, CCRN
St. Francis Hospital
Columbus GA
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
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office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
