{"id":1217,"date":"2016-01-12T20:46:13","date_gmt":"2016-01-12T19:46:13","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc\/?p=1217"},"modified":"2016-01-13T14:21:20","modified_gmt":"2016-01-13T13:21:20","slug":"well-i-never-thought-of-that","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2016\/01\/12\/well-i-never-thought-of-that\/","title":{"rendered":"Well I never thought of that &#8230;"},"content":{"rendered":"<p><a href=\"https:\/\/stg-blogs.bmj.com\/adc\/files\/2015\/12\/Urinary_catheter.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-1218\" src=\"https:\/\/stg-blogs.bmj.com\/adc\/files\/2015\/12\/Urinary_catheter-150x150.jpg\" alt=\"Urinary_catheter\" width=\"150\" height=\"150\" \/><\/a>For no particular reason I can think of I bumped into this RCT of &#8220;<a href=\"http:\/\/pediatrics.aappublications.org\/content\/136\/4\/e879?variant=long&amp;sso=1&amp;sso_redirect_count=1&amp;nfstatus=401&amp;nftoken=00000000-0000-0000-0000-000000000000&amp;nfstatusdescription=ERROR%3a+No+local+token\">Intraurethral Lidocaine for Urethral Catheterization in Children: A Randomized Controlled Trial<\/a>&#8221; and thought, initially, &#8220;Well that&#8217;s a waste of money and effort and quite unreasonably uncomfortable for the poor little things that got un-anesthetised&#8221;. (My very first job was on an adult urology firm, and after popping in a few more three-way irrigation catheters than anyone should need to do I came to the vicarious experiential position that anaesthetic would be a good thing for catheterisation.)<\/p>\n<p>But I read on.<\/p>\n<p>Turns out that compared with just plain, un-medicated lubrication, popping in some anaesthetic doesn&#8217;t make it better. Indeed, it might make it worse &#8211; as it stings when the lidocaine goes down &#8211; and the catheter is equally as uncomfortable.<\/p>\n<p>Which makes me wonder &#8211; what have you turned up in your reading \/ learning that made you question perfectly sensible assumptions?<\/p>\n<ul>\n<li>Archi<\/li>\n<\/ul>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For no particular reason I can think of I bumped into this RCT of &#8220;Intraurethral Lidocaine for Urethral Catheterization in Children: A Randomized Controlled Trial&#8221; and thought, initially, &#8220;Well that&#8217;s a waste of money and effort and quite unreasonably uncomfortable for the poor little things that got un-anesthetised&#8221;. (My very first job was on an [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2016\/01\/12\/well-i-never-thought-of-that\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-1217","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=1217"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1217\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=1217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=1217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=1217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}