Lidocaine for IV Pokes: Why the Disparity in Hospital Practices

Have you ever wondered why some hospitals automatically offer lidocaine before an IV placement, while others act as if they've never heard of it? This article explores the reasons behind these differences in hospital practices and offers tips to stay comfortable during an IV poke.

The Mysterious World of IV Stabs and Lidocaine

Offering lidocaine to numb the area before an intravenous (IV) needle insertion can be a matter of personal comfort, but the rationale behind it is often misunderstood. Some healthcare professionals might see it as counterintuitive, as the lidocaine application itself can cause a temporary burning sensation before the numbing effect sets in. However, the relief from the IV poke itself can make the short-lived discomfort worth it.

Personal Experience: Overcoming IV Fears

Having experienced my fair share of medical pokes and prods, I can attest that the IV experience is often more manageable than other procedures. However, one notable example stands out: the use of lidocaine at the dental office. At the dentist, lidocaine is commonly used to numb the gums before an injection. But when it comes to IVs, the use of lidocaine is not as standard in all medical settings.

Understanding the Differences in Training and Hospital Philosophy

The discrepancy in lidocaine usage between hospitals can be attributed to differences in training and hospital philosophy. Some healthcare facilities emphasize comfort and patient satisfaction, while others might prioritize other aspects of care. For instance, during dental procedures, the use of EMLA (a topical anesthetic) is routine because the pain from injecting anesthetics can be a significant barrier to patient comfort.

Personal Experience with EMLA and IVs

While I have never offered lidocaine to numb an IV, I have used EMLA. When a patient inquires, I explain the rationale as follows:

“So you want me to poke you with a needle and give you a medication that burns and will cause a wheal under the skin that will obscure the vein I’m trying to access just so when I make that second poke it won’t hurt. Am I missing something?”

Most people, after considering the logic, find that the fear of the injection is much worse than the injection itself. This is not a refusal to make the patient comfortable; instead, there are more effective ways to prepare the patient for the injection.

Conclusion: Making the IV Experience Comfortable

A wide range of techniques can be used to make an IV poke more comfortable. Relaxation and deep breathing techniques can help ease anxiety and distract from the discomfort of the procedure. Additionally, understanding the tools and methods available can empower patients to take an active role in their care.

Related Keywords

Lidocaine IV IV Pokes Hospital Policies