D
deleted162650
I just finished my ER rotation as a PGY-1. Last week we had a pt. who needed a CVL. The guy says he's allergic to novocaine (not real sure on the details of the reaction as this was another resident's patient, but it's a small ED so I was kinda following in the periphery). Instead of trying lido or another amide, the attending says to use subq benadryl. Sounded like black magic to me, but low and behold 2cc benadryl at the insertion site, and the guy didn't even flinch for the right-IJ. Apparantly benadryl has some Na-channel blocking properties? Anyone else heard of this or tried it?