Abstract
In the present study, 105 patients undergoing ophthalmological surgery (average age 6 ± 2 years) were investigated. All of the children received oral premedication comprising 0.4 mg/kgKG midazolam and 0.015 mg/kg atropine. On the day of the operation, 2 g of a lidocaine-prilocaine emulsion (EMLA®) were applied to an area of skin marked off by the anaesthetist for an average of 106 ± 55 min. prior to venipuncture. Within this area of local analgesia a skin vein was punctured with an indwelling cannula. The quality of local analgesia at the site of the puncture, together with the quality of premedication, was evaluated using a standardised scale. In 81% of the cases, the analgesia at the puncture site was judged to be good, and in 13% satisfactory; only 6% of the children indicated pain. Neither age, weight nor quality of premedication showed any significant influence on the local analgesic effect of EMLA®. In contrast, the application duration of the emulsion showed a significant correlation (r = 0.1931, p = 0.026) with the local analgesic effect. Accordingly, the high percentage of problem-free venipuncture is primarily due to the adequate quality of local analgesia.
| Translated title of the contribution | Correlation between application duration and effect of a topical analgesic emulsion (EMLA®) in children |
|---|---|
| Original language | German |
| Pages (from-to) | 284-287 |
| Number of pages | 4 |
| Journal | Anasthesiologie und Intensivmedizin |
| Volume | 35 |
| Issue number | 9 |
| State | Published - 1994 |
| Externally published | Yes |