Fw: Anesthesia for Peds IV sticks

[Guest guest]

  Sifuentes, RN CA-SANE

Trauma/SANE Coordinator

and White Healthcare-Round Rock, Texas

lsifuentes@...

----- Forwarded Message ----

To: ena_pediatrics ena_pediatrics@...>

Sent: Wednesday, March 11, 2009 4:08:59 PM

Subject: RE: Anesthesia for Peds IV sticks

 

The J-tip is a needle-less, painless FDA-approved injection system that delivers

1% buffered lido under high pressure from a compressed CO2 gas cartridge.  The

med is expelled through a micro-orifice and penetrates the skin surface and SQ

tissues approx. 5-8mm in 0.2 seconds.  It makes a popping sound when the

cartridge is activated which could frighten some children—explaining the sound

first usually prevents this (the “pop goes the weasel†song or a

jack-in-the-box type of toy could be used as a distraction).

 

Reference:

Jimenez, N., Bradford, H., Seidel, K., Sousa, M., &  Lynn, A. (2006).  A

comparison of a needle-free injection system for local anesthesia versus EMLA

for intravenous catheter insertion in the pediatric patient.  Anesth. Analg.

(102) p. 411-414.

 

Cathy Olson, RN, BSN

Trauma Nurse Coordinator

Emergency/Trauma Services

Sherman Hospital

Elgin, IL  60120

(847)429-8204   Pager (847)429-3910, 8204#

catherine.olson@...

 

See new hospital progress at:  www.thefutureofsherman.com

________________________________

From:mitesoro

Sent: Wednesday, March 11, 2009 2:32 PM

To: ena_pediatrics

Subject: Re: Anesthesia for Peds IV sticks

 

 

 

What is J-Tip?

 

Debra , RN

 

Clinical Manager

Dell Children's Emergency Department

Austin, Texas

 

________________________________

To: ena_pediatrics ena_pediatrics@...>

Sent: Wednesday, March 11, 2009 11:48:45 AM

Subject: RE: Anesthesia for Peds IV sticks

We are using J-Tip and LMX. Each nurse is different. Some like the J-tip and

some do not. The children seem to like it....

Roxene S. Riles BSN, MSN

Advanced Education Specialist

Emergeny Center

All Childrens Hospital

(office)

727- 224-8830 (cell)

(page)

rilesr@... rilesr@...>

________________________________

From: Gail Schoolden

Sent: Tue 3/10/2009 9:07 PM

To: ena_pediatrics

Subject: Re: Anesthesia for Peds IV sticks

We use L-max for accessing infusaports.  Most of our families put it on at home

before coming in.  We also use it for LP's and for I & F of abcess, we use LET

for lacerations (Lidocaine, epi and tetracaine) and we are working on a protocol

for use of pain control for PIV's.  We sometimes use L-max for that too, but it

often takes to long if a kid is really sick, we use sweetease for the infants. 

We were going to pilot the Zingo, but it was taken off the market, so we are

back to reworking our pain protocol for PIV sticks/phlebotomy.

Gail Schoolden RN, MS

NCIII

Pediatric ED

s Hopkins Hospital

>>> " Olson, " .Olson@...> 03/10/09 3:17 PM

>>>

What is your ED using for anesthesia prior to pediatric IV and/or

phlebotomy sticks?  Are any of you using EMLA cream or ELA-Max?  What

about the " J-tip " jet injector (1% buffered lidocaine)?  I have found

some literature comparing the effects of these agents, but would like to

hear what is working well in practice (and cost effectiveness) for your

peds population.

Cathy Olson, RN, BSN

Trauma Nurse Coordinator

Emergency/Trauma Services

Sherman Hospital

Elgin, IL  60120

(847)429-8204  Pager (847)429-3910, 8204#

catherine.olson@...

catherine.olson@...>

See new hospital progress at:  www.thefutureofsherman.com

http://www.thefutureofsherman.com/>

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