• Pediatric emergency care · Dec 2020

    Review

    Local and Topical Anesthetics for Pediatric Patients in the Emergency Department.

    • Sharon E Mace, Paula Whiteman, Jahn T Avarello, Aderonke Ojo, Emily Rose, Jonathan Valente, and Madeline Joseph.
    • Department of Emergency Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.
    • Pediatr Emerg Care. 2020 Dec 1; 36 (12): 593-601.

    AbstractPainful diagnostic and therapeutic procedures are common in the emergency department. Adequately treating pain, including the pain of procedures is an essential component of the practice of emergency medicine. Pain management is also part of the core competency for emergency medicine residencies and pediatric emergency medicine fellowships. There are many benefits to providing local and/or topical anesthesia before performing a medical procedure, including better patient and family satisfaction and increased procedural success rates. Local and topical anesthetics when used appropriately, generally, have few, if any, systemic side effects, such as hypotension or respiratory depression, which is an advantage over procedural sedation. Use of local and topical anesthetics can do much toward alleviating the pain and anxiety of pediatric patients undergoing procedures in the emergency department.

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