I am conducting an evidence based project looking SQ lidocaine administration with PICC placements. I am looking to change our policy and procedure regarding the amount of SQ lidocaine used in PICC placements. Right now our policy is 1 ml. I am benchmarking for clinical practice. I would like to know how much SQ lidocaine other facilities use for PICC placement. If the amount varies from patient to patient, what criteria do you use to decide who gets how much? Thanks!
0.1-0.2 mL intradermal we find to be sufficient
do you mean 1-2 ml?
Our order panel includes 10-20 mg of lidocaine. I choose based on the depth of the vein. Someone with a vein that is very superficial will only receive 10 mg (1 mL). I start with a small whealie at the site and watch for the pocket formation along the intended pathway. I am trying to make my patient very comfortable during the procedure.
Carole
Yes. 1 mL = 10 mg for our kits.
We use 0.5- 1.0 SQ but if the vessel is deep I wait a few seconds for the first stuff to kick in, then I go deeper with another 0.5 mL guided by my U/S.
null
I have a problem with this. Are we talking about Lidocaine without Epi?....because limiting yourself to 0.5ml-1.0 ml?..why?...has anyone heard of any bad outcomes using subQ Lido... I've been using Lido for many years, and I have never seen an adverse reaction. Before I was a vascular Access nurse , I worked in the ER for 5 years (1990-1995) using Lido extensively never an adverse reaction. So, my point is: Why would you limit it's use?
Jack