The use of a eutectic mixture of local anesthetic in pediatric renal biopsy

1992 ◽  
Vol 6 (3) ◽  
pp. 276-277 ◽  
Author(s):  
Malcolm R. Ogborn
2013 ◽  
Vol 9 (1) ◽  
pp. e86-e90 ◽  
Author(s):  
Rebeca M. Plank ◽  
David W. Kubiak ◽  
Rasak Bamidele Abdullahi ◽  
Nnamdi Ndubuka ◽  
Maggie M. Nkgau ◽  
...  

2014 ◽  
Vol 11 (4) ◽  
Author(s):  
Mojgan Kalantari ◽  
Shahrzad Zadeh Modares ◽  
Firoozeh Ahmadi ◽  
Vajihe Hazari ◽  
Hadieh Haghighi ◽  
...  

2021 ◽  
Vol 104 (1) ◽  
pp. 73-78

Background: Since the patients scheduled for an endoscopic procedure had been unhappy with pain during intravenous cannulation. Objective: To compare the effectiveness between 5% eutectic mixture of local anesthetic cream and ethyl chloride spray applied on the skin prior to the procedure. Materials and Methods: One hundred eighty-six patients were randomized equally into three groups, A: 5% eutectic mixture of local anesthetic cream, B: ethyl chloride spray, and C: placebo. Then a nurse used a 22-gauge (22G) needle catheter to administer a cannula. Five minutes after the intravenous cannulation, a co-researcher assessed the patient’s pain perception and satisfaction as well as the nurse’s difficulty in performance by means of a numeric rating scale. Results: One hundred seventy-six patients completed the present study. Participants having the anesthetic cream and spray application as well as the placebo expressed their pain scores as 1.7±1.3, 1.6±1.2, and 2.2±1.3, respectively. Therefore, patients applied with local anesthetics had significantly less pain perception than those with the placebo (p=0.039); however, scores were not different between the anesthetic cream and the spray groups. Conclusion: Patients scheduled for an endoscopic procedure did not showed significant pain relief with either the 5% eutectic mixture of local anesthetic cream or the ethyl chloride spray. Keywords: 5% eutectic mixture of local anesthetic cream, Ethyl chloride spray, Endoscopic surgery, Intravenous cannulation, Pain


2007 ◽  
Vol 105 (2) ◽  
pp. 512-515 ◽  
Author(s):  
David Samson ◽  
Vincent Minville ◽  
Cl??ment Chassery ◽  
Luc Nguyen ◽  
Antoine Pianezza ◽  
...  

2003 ◽  
Vol 17 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Hulya Basar ◽  
Erdal Yilmaz ◽  
Saziye Ozcan ◽  
Unase Buyukkocak ◽  
Filiz Sari ◽  
...  

2000 ◽  
Vol 92 (4) ◽  
pp. 1049-1054 ◽  
Author(s):  
Thara Tritrakarn ◽  
Jariya Lertakyamanee ◽  
Pisamorn Koompong ◽  
Suchai Soontrapa ◽  
Pradit Somprakit ◽  
...  

Background The objectives were to determine whether a eutectic mixture of local anesthetic (EMLA) or placebo cream reduces pain during extracorporeal piezoelectric shock wave lithotripsy (EPSWL), and to determine which of the components of the application (i.e., the occlusive dressing, the cream, or the local anesthetic) contributes to analgesia. Methods A randomized, double blind, crossover study (part 1) was performed in 12 patients who were scheduled for EPSWL procedures on an ambulatory basis who received the first treatment without any intervention and who had verbal pain scores of 70 or more (on a 0-to- 100 scale). For the next two treatments at 2-week intervals, patients were randomly assigned to receive either 10 g EMLA or 10 g placebo cream and then crossed over to receive the other. The cream and occlusive dressing were left in place and immersed in water throughout the procedure. Verbal numeric pain score was assessed at 5 min after receiving the maximal tolerable intensity of shock wave and at the end of the procedure. The study continued (part 2) in 202 ambulatory patients; 125 men and 77 women, American Society of Anesthesiologists physical status I and II, subjected to EPSWL were randomly allocated into five groups who received (1) nothing on the skin (control), (2) plastic occlusive dressing, (3) placebo cream and plastic occlusive dressing, (4) EMLA cream and plastic occlusive dressing, (5) EMLA cream and plastic occlusive dressing for 60 min to achieve cutaneous anesthesia, which was removed before EPSWL. Pain score was evaluated 10 min into the procedure and at the end of the procedure. Result Both parts of the study showed that patients who received either EMLA or placebo cream with dressing throughout the procedure experienced less pain and tolerated higher energy levels compared with the control. Patients who received only pre-EPSWL cutaneous anesthesia of EMLA and who received only the occlusive dressing did not have a reduction in pain score. Conclusions EMLA and placebo creams under occlusive dressing reduced pain during EPSWL. The presence of the cream itself as a coupling medium contributed to analgesia. This may be a useful, simple, safe, and economical adjuvant technique to reduce pain during immersion EPSWL.


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