Back to Search
Start Over
First-time success with needle procedures was higher with a warm lidocaine and tetracaine patch than an eutectic mixture of lidocaine and prilocaine cream
- Publication Year :
- 2017
-
Abstract
- Aim More than 50% of children report apian during venepuncture or intravenous cannulation and using local anaesthetics before needle procedures can lead to different success rates. This study examined how many needle procedures were successful at the first attempt when children received either a warm lidocaine and tetracaine patch or an eutectic mixture of lidocaine and prilocaine (EMLA) cream. Methods We conducted this multicentre randomised controlled trial at three tertiary-level children's hospitals in Italy in 2015. Children aged three to 10 years were enrolled in an emergency department, paediatric day hospital and paediatric ward and randomly allocated to receive a warm lidocaine and tetracaine patch or EMLA cream. The primary outcome was the success rate at the first attempt. Results The analysis included 172 children who received a warm lidocaine and tetracaine patch and 167 who received an EMLA cream. The needle procedure was successful at the first attempt in 158 children (92.4%) who received the warm patch and in 142 children (85.0%) who received the cream (p = 0.03). The pain scores were similar in both groups. Conclusion This study showed that the first-time needle procedure success was 7.4% higher in children receiving a warm lidocaine and tetracaine patch than EMLA cream.
- Subjects :
- Male
Hot Temperature
Lidocaine
Emla cream
Pediatrics
law.invention
Peripheral
0302 clinical medicine
Randomized controlled trial
Phlebotomy
law
Anesthetics, Local
Child
Venipuncture
General Medicine
Perinatology and Child Health
Warm lidocaine and tetracaine patch
Local
Eutectic mixture of lidocaine and tetracaine cream
Anesthesia
Child, Preschool
Local anaesthetic
Needle procedure
Procedural success rate
Catheterization, Peripheral
Female
Humans
Pain
Prilocaine
Tetracaine
Pediatrics, Perinatology and Child Health
Day hospital
medicine.drug
Human
medicine.medical_specialty
Catheterization
03 medical and health sciences
030225 pediatrics
medicine
Preschool
Lidocaine, Prilocaine Drug Combination
Anesthetics
business.industry
030208 emergency & critical care medicine
Emergency department
Surgery
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....147e66ff3129dd213ad4afa1db224f62