Adverse effects of EMLA (lidocaine/prilocaine) cream and efficacy for the placement of jugular catheters in hospitalized cats
| Autor: | Lauren A. Trepanier, Kristi J. Gibbon, Karin A. Wagner, Joseph R. Kurian, Tami L. Strom |
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| Rok vydání: | 2006 |
| Předmět: |
Male
0301 basic medicine Catheterization Central Venous medicine.medical_specialty Lidocaine/prilocaine Lidocaine 040301 veterinary sciences Sedation Pain Cat Diseases Placebo Prilocaine Ointments 0403 veterinary science 03 medical and health sciences Jugular vein medicine Animals Anesthetics Local Small Animals Lidocaine Prilocaine Drug Combination Pain Measurement Pain Postoperative Venipuncture business.industry 04 agricultural and veterinary sciences Anesthetics Combined Surgery Occlusive dressing 030104 developmental biology Anesthesia Cats Female Analgesia Jugular Veins medicine.symptom business medicine.drug |
| Zdroj: | Journal of Feline Medicine and Surgery. 8:141-144 |
| ISSN: | 1532-2750 1098-612X |
| Popis: | EMLA is a lidocaine/prilocaine cream used for topical analgesia in human pediatric patients. The purpose of this study was to establish the safety of EMLA in clinically ill cats, to measure systemic absorption and to determine whether EMLA reduced the need for sedation for the placement of jugular catheters. Thirty-one cats were randomized to either a placebo or EMLA cream group. Cream was applied to a 10 cm2 area over the jugular vein, with 1 h of occlusive dressing. Neither anesthetic was systemically absorbed in any cat, and no adverse clinical signs were observed. Struggling during catheter placement was less in the EMLA-treated cats compared to placebo, but did not reach significance ( P=0.06). Jugular catheters were successfully placed in 60% of EMLA-treated cats and 38% of placebo cats; this difference was not statistically significant and may not justify the added steps of EMLA cream administration for this purpose. However, EMLA does appear to be safe in clinically ill cats, and may be useful for other applications such as for skin mass removal or repeated venepuncture. |
| Databáze: | OpenAIRE |
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