Emergency medicine journal : EMJ
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Randomized Controlled Trial Clinical Trial
The use of pre-cannulation local anaesthetic and factors affecting pain perception in the emergency department setting.
To determine whether the use of subcutaneous local anaesthetic (lignocaine) is associated with a reduction in cannulation pain in the emergency department setting. ⋯ The use of lignocaine before cannulation reduced cannulation pain in the emergency department setting. Other factors examined did not influence pain perception.
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To improve the time taken for children arriving to the accident and emergency (A&E) department in pain to receive analgesia. Delivery within 30 minutes of triage was taken as an achievable goal. ⋯ The introduction of a simple Paediatric Pain Protocol has improved the time taken to deliver analgesia to children arriving in this A&E department.
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To determine whether minimum clinically significant difference in visual analogue scale (VAS) pain score varies according to the severity of pain reported. ⋯ The MCSD in VAS pain score does not differ with the severity of pain being experienced.