Pediatric emergency care
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Pediatric emergency care · Dec 2004
Clinical TrialThe anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on finger lacerations.
To determine the effectiveness of lidocaine-adrenaline-tetracaine (LAT) in providing adequate anesthesia for the repair of finger lacerations and to monitor the risk of digital ischemia following application of LAT gel to finger lacerations. ⋯ LAT gel appears to be a safe and effective means of providing anesthesia for the repair of simple finger lacerations in children. It was most effective on the dorsal surface of the finger.
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Pediatric emergency care · Dec 2004
Pain, position, and stylet styles: infant lumbar puncture practices of pediatric emergency attending physicians.
Lumbar punctures (LPs) are common emergency department (ED) procedures. Few pediatric studies exist to define training, guide practice, or indicate preferred methods for infants. While pain control is recommended, no recent studies indicate prevalence of analgesic use since the advent of topical anesthetics. We surveyed academic pediatric ED physicians to assess training and technique preferences and to highlight pain control usage. ⋯ Analgesia is underused for infant LPs. Advancing the needle without a stylet is not uncommon. Response rate to regular mail surveys was much higher.