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Related Experiment Videos

Local anaesthesia for cannulation. Has practice changed?

A R Dennis1, C G Leeson-Payne, B T Langham

  • 1Anaesthesia University Department of Anaesthesia, Queens Medical Centre, Nottingham.

Anaesthesia
|May 1, 1995
PubMed
Summary

Research shows that informing anaesthetists about pain reduction from local anaesthesia for intravenous cannulation changes practice. Awareness significantly increases the use of local anaesthetics, improving patient comfort during procedures.

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Area of Science:

  • Anesthesiology
  • Clinical Practice Research

Background:

  • Recent research demonstrated subcutaneous local anaesthetic infiltration effectively reduces pain during intravenous cannulation.
  • Understanding the impact of this research on anaesthetists' clinical practice is crucial for improving patient care.

Purpose of the Study:

  • To assess the influence of new, conclusive research on anaesthetists' practices regarding pain management during intravenous cannulation.
  • To evaluate the adoption rate of evidence-based practices among anaesthetists in four different centers.

Main Methods:

  • A questionnaire study was conducted among anaesthetists across four centers.
  • The questionnaire assessed awareness of specific research findings and subsequent changes in clinical practice, particularly concerning local anaesthetic use for intravenous cannulation.

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Main Results:

  • 71% of responding anaesthetists were aware of the research, and 43% altered their practice accordingly.
  • Anaesthetists aware of the research were more likely to use local anaesthesia for cannulae (18 gauge or less) (73%) compared to those unaware (46%).
  • Awareness varied by grade, with senior house officers being significantly less informed than other grades.

Conclusions:

  • Dissemination of clear research findings can positively influence anaesthetists' clinical practice.
  • There is a notable gap between research awareness and consistent implementation in routine practice, highlighting areas for improvement in knowledge translation.
  • Evidence-based practice adoption for pain reduction during intravenous cannulation is achievable but requires targeted educational strategies.