
June 2024
RCEM Learning
Challenges in Cannulation and Pain Management in Patients with Difficult Veins
The chapter delves into the difficulties of cannulation in patients with challenging veins and suggests using subcutaneous morphine for analgesia before IV access. It questions the underutilization of intranasal analgesia in adults and discusses the guidance on using patient-controlled analgesia for opiate administration. The chapter also touches on the importance of providing tailored care for patients with sickle cell disease in the emergency department and the need for better management strategies in busy healthcare settings.
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