British journal of hospital medicine
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The use of Emla cream in the 1980s has enabled many procedures to be carried out without unnecessary pain or discomfort. Its various potential uses have been evaluated in many different specialties. This article reviews the application of Emla that have been found to be effective.
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There is nowadays virtually no contraindication to anaesthesia for even small, sick neonates provided that adequate resuscitation is first carried out. Furthermore, apart from severe trauma and airway difficulties, very few paediatric surgical emergencies require immediate intervention. Most emergencies can be treated within a few hours, preferably when the full facilities of the hospital are available.