Local anesthetic shortage guidelines

[lobelsteve]

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Best practices for interventional pain procedures in the setting of a local anesthetic shortage: A practice advisory from the Spine Intervention Society

Representatives from the Spine Intervention Society (SIS) Standards Division and Evidence Analysis Committee have developed the following best practic…

www.sciencedirect.com

 

[MitchLevi]

I'll keep using MDV for multiple pts. Thanks.

 

[jsaul]

"cognitive behavioral therapy, guided imagery, virtual reality"

Are they seriously saying this?
Then are telling us to buy vr headsets or paint a picture of a beach to numb a patient?

 

[callmeanesthesia]

I’ve got an MA with the gift of gab. She distracts the patients for me.

 

[Ducttape]

Topical anesthetics, infiltration with diphenhydramine, and nonpharmacologic therapies (i.e., cognitive behavioral therapy, guided imagery, virtual reality, mechanodesensitization) may be used as alternatives to skin infiltration of local anesthetic for reducing procedural pain.

squeezy balls, telling people to be mindful, go to their happy place for just a second, 2 slow deep breaths while the injection starts, hand holding, etc.

 

[lobelsteve]

https://cdn.ymaws.com/www.spineintervention.org/resource/resmgr/factfinder/Preservative_Local_Anestheti.pdf

SIS directly contradicts itself regarding preservative/PF LA

 

[paindoctn]

My old attending in the fellowship was always a minimalist when it came to local anesthetics. He'd tell the pts "You'll be OK, everything is OK" over and over again for the duration of the entire procedure as he was sticking needles into their backs while patients were basically coming off the table from discomfort. We called it "ok anesthesia" behind his back, LOL.

 

[epidural man]

Best practices for interventional pain procedures in the setting of a local anesthetic shortage: A practice advisory from the Spine Intervention Society

Representatives from the Spine Intervention Society (SIS) Standards Division and Evidence Analysis Committee have developed the following best practic…

www.sciencedirect.com

Thanks for posting - good article.