Article Notes
- The pain of subcutaneous 1% lignocaine injection is significantly less than cannulation pain across all cannula sizes.
- Patients prefer pre-cannulation LA infiltration.
Medical practitioners often use ISBAR (Introduction, Situation, Background, Assessment and Recommendation) to guide clinical handover. This tool aims to improve patient safety by providing a systematic approach to patient handover. The focus is on the clinical content, rather than the manner in which the handover is delivered. We suggest a greater emphasis on kindness, trust and respect, with the aim of improving collegiality. Hence, a new acronym: “K-ISBAR”. At every handover, doctors can display kindness (utilising empathy and understanding) towards each other, which may slowly rebuild our collegiality.
We should all be more reflective in our behaviour towards our colleagues, putting ourselves in their shoes and modelling our language and behaviour on what we would expect to receive.
Yes! Despite anaesthesiologist and anaesthetist reluctance to infiltrate with lignocaine/lidocaine before peripheral cannulation, we have several decades of evidence showing that: