Comparison of EMLA Cream versus Lidocaine Injection for Lumbar Puncture Pain Control in Pediatric Oncology Patients
| Autor: | Andrea D. Merry-Sperry, Elham Alqudah, Alexa Magner, Stephanie Thompson, Pamela Smith, Ashley Meyer, Mohamad Badawi |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Avicenna Journal of Medicine, Vol 12, Iss 04, Pp 178-181 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2231-0770 2249-4464 0042-1758 |
| DOI: | 10.1055/s-0042-1758389 |
| Popis: | Background Subcutaneous lidocaine injection and topical EMLA cream are both used to control lumbar puncture (LP) pain; however, local analgesia usage is not standardized. Methods We conducted a prospective, single-blinded, randomized-controlled crossover trial comparing the two modalities in reducing LP pain. Pediatric patients requiring serial LPs were randomly assigned to receive EMLA cream or lidocaine injection prior to LP. On the subsequent LP, analgesia was defaulted to the other agent. Pain was assessed using the Wong-Baker FACES Pain Rating Scale pre-procedure: 30 to 60 minutes post-LP, and 24 hours post-procedure. Results Ten patients were included in the analysis (median age: 5.5 years). Pain ratings at 1 and 24 hours post-LP did not differ between the two strategies (p = 0.79). No adverse local reactions were reported for either agent. Conclusion Accordingly, both lidocaine and EMLA cream provided effective LP pain control. |
| Databáze: | Directory of Open Access Journals |
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