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The use of EMLA cream reduces the pain of skin puncture associated with caudal block in children

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Author(s)
Eun Kyung Choi, YoungHo Ro, Sung-Sik Park, Ki-bum Park
Keimyung Author(s)
Park, Ki Bum
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2016
Volume
69
Issue
2
Keyword
Caudal anesthesiaEMLAPainPediatrics
Abstract
Background: Caudal block is a popular regional anesthesia in children undergoing infraumbilical surgeries including inguinal
hernia repair and orchiopexy. We evaluated the efficacy of eutectic mixture of local anesthetic (EMLA) cream for
reducing needle insertion pain during caudal block in pediatric patients.
Methods: Forty-one children between the ages of 13 months and 5 years undergoing infraumbilical surgery were randomized
to receive either topical EMLA or placebo cream over the sacral hiatus one hour before caudal block. All children
were assessed with the Multidimensional Assessment Pain Scale (MAPS) at the following time points. T0: arrival
at the operation room; T1: just before needle insertion; T2: immediately after needle insertion into the sacral hiatus. The
need for sevoflurane inhalation due to procedural pain response was also assessed at the same time as MAPS assessment.
Results: MAPS scores were significantly lower in the EMLA group compared with the placebo group at T2 (P = 0.001).
Moreover, need for sevoflurane inhalation due to procedural pain response was significantly lower in the EMLA group
compared with the control group at T2 (P < 0.001).
Conclusions: We suggest that pretreatment with EMLA cream over the sacral hiatus before caudal block has significant
advantages in alleviating procedure pain during caudal block in children.
Keimyung Author(s)(Kor)
박기범
Publisher
School of Medicine
Citation
Eun Kyung Choi, YoungHo Ro, Sung-Sik Park, Ki-bum Park. (2016). The use of EMLA cream reduces the pain of skin puncture associated with caudal block in children. Korean Journal of Anesthesiology, 69(2), 149–154. doi: 10.4097/kjae.2016.69.2.149
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2016.69.2.149
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33317
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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