Sado Daniel M, Deakin Charles D
Department of Respiratory Medicine, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK.
J R Soc Med. 2005 Apr;98(4):158-60. doi: 10.1177/014107680509800405.
The pain of venous cannulation and arterial puncture can be greatly lessened by local anaesthesia. We sought information about the use of local anaesthesia for these procedures by doctors working in medicine, surgery and anaesthetics. A questionnaire was hand-delivered to 178 doctors in eight hospitals, all of whom responded. For insertion of large-bore cannulae, local anaesthesia was used by all the anaesthetists but less than half the medical and surgical doctors. For arterial blood sampling it was used by 60% of anaesthetists and 2% of ward doctors. Previous recommendations to use local anaesthesia seem to have been ignored, and in many instances these procedures are more painful than necessary.
局部麻醉可大大减轻静脉插管和动脉穿刺的疼痛。我们收集了从事内科、外科和麻醉科工作的医生在这些操作中使用局部麻醉的相关信息。我们将一份问卷亲手分发给八家医院的178名医生,他们均给予了回复。对于插入大口径套管,所有麻醉医生都使用了局部麻醉,但内科和外科医生中使用的不到一半。对于动脉采血,60%的麻醉医生和2%的病房医生使用了局部麻醉。以往关于使用局部麻醉的建议似乎被忽视了,在许多情况下,这些操作的疼痛程度超过了必要程度。