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Are You Ready for Ebola? - November 2014 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 3 N O V E M B E R 2 0 1 4 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E IDEAS That Work I t's not uncommon for patients under- going propofol induction to complain of painful sensations at the injection site. For patients whose histories indicate par- ticularly bad experi- ences, I perform what I call "mini Bier blocks." First I'll apply a tourniquet or venous stasis with a BP cuff, inject 2 to 3 mL of 1% lidocaine, and wait for 2 min- utes. Then I'll remove the tourniquet and administer the propo- fol. I've found this to be effective even among patients who've report- ed severe pain from propofol with added lidocaine. Curtis Alleyne, BSc, MBBS, DM Queen Elizabeth Hospital Bridgetown, Barbados somnos@caribsurf.com EASIER INDUCTION Pre-Propofol Lidocaine Prevents Injection Pain BANISH THE BURN A pre-induction injection of lido- caine can mask the pain of propofol.

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