One MD suggested waiting 10 min after the lido. 

--- Gwen Irwin <[EMAIL PROTECTED]> wrote:

> I would agree if it only happened with brachial vein
> access, but it isn't.  They don't complain of the
> "electric" feeling going toward the hand with nerve
> stimulation.  
> With basilic vein entry very clear of any other
> vessel, we have seen this happen numerous times. 
> When it happens, we have a very clear image on the
> ultrasound that it occurs before any dimpling of the
> basilic vein.
> Do we have weird patients?  I don't think so.  We do
> find it interesting, because these patients will
> vasoconstrict quickly, if we don't proceed to vein
> access in spite of their complaint of pain. 
> Stopping to administer more lidocaine has not been
> successful, so we now proceed to vein access.
> 
> Gwen Irwin
> Austin, Texas
>   ----- Original Message ----- 
>   From: Cheryl Kelley 
>   To: Gwen Irwin ; [EMAIL PROTECTED] 
>   Sent: Thursday, October 26, 2006 1:26 PM
>   Subject: Re: Painful vein entry
> 
> 
>   Consider that the intense pain they are feeling
> when getting near the vessel, especially with the
> brachial area, may be the nerve bundle.  
> 
> 
>   Cheryl Kelley RN
>   PICC Nurse and Infusion Consultant
>                       and
>   PICC Nurse at West Virginia University Hospitals
>   304-823-3196    or     304-669-3061


__________________________________________________
Do You Yahoo!?
Tired of spam?  Yahoo! Mail has the best spam protection around 
http://mail.yahoo.com 


Reply via email to