• Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 1997

    [EMLA for anesthesia of puncture sites for large lumen indwelling venous catheters for autologous plasma and erythrocyte concentrate donation].

    • M Gelowicz-Maurer, P Geiger, K Junker, and C Kunz.
    • Abteilung-Anästhesiologie/Intensivmedizin, Rehabilitationskrankenhaus Ulm.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Jan 1; 32 (1): 27-9.

    ObjectiveThe analgetic effect of EMLA-Creme (Lidocaine-Prilocaine-Cream) was studied in 52 patients undergoing preoperative autologous blood and/or plasma donation.Method95 venous punctures were performed with a 18 G or 16 G cannula. Puncture pain was estimated by the patients using a visual analog painscore (VAS 0-100). The data were evaluated regarding reaction time, puncture spot and cannula diameter.ResultsWithin 15 minutes we find a clear reduction of puncture pain. The diameter of the cannula does not correlate with the painscore. Puncture of hand-back veins seems to be more painful than cubital vein puncture.ConclusionThe application of EMLA-Creme results in an effective analgesia for venous puncture. 37% of our patients were punctured without any pain and 67% felt a tolerable pain (VAS: 0-10).

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