Local Anaesthetic Guidelines

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Written by Consultant Nurse Acute Pain Service

Local anaesthetic agents can provide excellent pain relief when administered by continuous infusion or by intermittent bolus injection. Local anaesthetic infusions can aid early mobilisation in patients who have lower limb surgery

Disposable, single use, infusion devices are used to deliver local anaesthetic infusions within Ashford and St Peter's Hospitals NHS Foundation Trust. The device is filled with a local anaesthetic solution during surgery and will deliver a continuous rate of local anaesthetic according to the type of device used. The nature of the device means that a fixed infusion will be provided and will run continuously unless clamped. Some devices also allow the patient to self administer a set bolus of the local anaesthetic mixture.

The aim of these guidelines is to ensure the safe nursing care of any patients receiving:

Continuous infusions of local anaesthetics including intra-articular infusions and/or subcutaneous infusions
'One shot' regional nerve blocks such as femoral nerve, fascia iliaca or interscalene brachial plexus blocks (with no catheter left in situ)
Fascia iliaca blocks requiring intermittent bolus injections via an indwelling catheter

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Last Updated ( Wednesday, 30 November 2011 11:22 )

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