Local anaesthesia and pain management in image-guided breast interventions: empathy in action

Alcantara Souza, Rodrigo; Arenas, Natalia; Azcona Sáenz, Javier; Pitarch, Mireia; Vall, Elisenda; Vila-Trias, Elisabet; Ejarque, Belén; Maiques Llácer, José María; Montes Pérez, Antonio

doi:http://dx.doi.org/10.1016/j.ejrad.2025.112176

Local anaesthesia and pain management in image-guided breast interventions: empathy in action

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Alcantara R, Arenas EN, Azcona J, Pitarch M, Vall E, Vila-Trias E, Ejarque B, Maiques JM, Montes A. Local anaesthesia and pain management in image-guided breast interventions: empathy in action. Eur J Radiol. 2025 Aug:189:112176. DOI: 10.1016/j.ejrad.2025.112176

Abstract

Effective pain management is critical in image-guided breast interventions, directly contributing to patient comfort and procedural success. This review provides breast radiologists with actionable insights into pain mechanisms, the optimisation of local anaesthetic delivery, and practical supplementary methods to minimise injection discomfort. Evidence-based techniques, including buffering, warming of solutions, and the addition of vasoconstrictors, are explored. Pharmacological properties, safety considerations, and innovative approaches, including patient-centred care and anxiety management strategies, are also discussed. Together, these considerations form a comprehensive framework to advance practices and elevate the standard of care in breast interventions.