Emla Cream Application for Epidural Puncture
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Emla cream is frequently used for topical anaesthesia for injections, catheterisation, minor surgery and spinal puncture. We aimed to evaluate the efficacy of cutectic mixture of local anaesthetics on pain scores, patients satisfaction and compare it with lignocaine infiltration for insertion of 16 G Toughy needles. After Ethics Commitee approval and written informed consent, 60 ASA I-II patients undergoing for elective lower extremity and lower abdominal surgery were included to the study. The patients were randomly allocated to two groups: Group I received placebo cream and intradermal-subdermal 2 mL lidocaine % 2 infiltration, Group II received EMLA cream. One hour prior to the insertion of epidural catheter; plasebo cream in Group I and EMLA cream in Group II were applied to L2-3 and L3-4 levels. During the insertion of the epidurale catheter, 10 cm visual analog pain scales and after the insertion of the catheter, anaesthesia quality, and patient satisfaction were determined. Groups were comparable for age, weight and gender parity. There were no significant difference in pain scores during epidural needle insertion, anaesthesia quality and patient satisfaction between Group I and II (p>0.05). The time required for plasement of the catheter was significantly longer in group I (p<0.05). We conclude that application of EMLA cream is a simple and effective method to provide adequate analgesia for epidural needle insertion and can be an alternative method to lidocaine infiltration.
Açıklama
Anahtar Kelimeler
Anaesthesia; Emla Cream; Epidural; Infiltration; Lidocaine; Local Anaesthetics, Atropine; Emla; Lidocaine; Midazolam; Placebo; Abdominal Surgery; Adult; Anesthesiological Techniques; Article; Controlled Study; Drug Efficacy; Epidural Anesthesia; Human; Leg; Major Clinical Study; Needle; Pain Assessment; Patient Satisfaction; Randomization; Scoring System; Visual Analog Scale
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
32
Sayı
1
