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For: Cozzi G, Borrometi F, Benini F, Neri E, Rusalen F, Celentano L, Zanon D, Schreiber S, Ronfani L, Barbi E. First-time success with needle procedures was higher with a warm lidocaine and tetracaine patch than an eutectic mixture of lidocaine and prilocaine cream. Acta Paediatr 2017;106:773-778. [PMID: 28130888 DOI: 10.1111/apa.13764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 11/08/2016] [Accepted: 01/24/2017] [Indexed: 01/30/2023]

For:	Cozzi G, Borrometi F, Benini F, Neri E, Rusalen F, Celentano L, Zanon D, Schreiber S, Ronfani L, Barbi E. First-time success with needle procedures was higher with a warm lidocaine and tetracaine patch than an eutectic mixture of lidocaine and prilocaine cream. Acta Paediatr 2017;106:773-778. [PMID: 28130888 DOI: 10.1111/apa.13764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 11/08/2016] [Accepted: 01/24/2017] [Indexed: 01/30/2023]

Number

Cited by Other Article(s)

Lozano S, Sund G, Guimera A, Deukmedjian G, Miller PS. A Comparison of Local Anesthetics for Intravenous Catheter Insertion in Hospitalized Pediatric Patients: A Randomized Clinical Pilot Trial. JOURNAL OF INFUSION NURSING 2021;44:346-356. [PMID: 34753154 DOI: 10.1097/nan.0000000000000449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]

Affiliation(s)

Sally Lozano University of California Los Angeles Medical Center, Santa Monica, California (Ms Lozano); University of California Los Angeles Mattel Children's Hospital, Los Angeles, California (Ms Sund); University of California Los Angeles Health, Los Angeles, California (Drs Guimera, Deukmedjian, and Miller) Sally Lozano, BSN, RN, CPN , has worked as a pediatric nurse for 15 years at University of California Los Angeles (UCLA) Medical Center. She was recently promoted to clinical nurse manager in the general pediatric unit. Ms Lozano has extensive experience placing and teaching techniques for successful peripheral intravenous catheter insertions Grace Sund, MSN, RN, CPNP, CPHON, is a clinical nurse specialist in pediatrics at UCLA Mattel Children's Hospital and has worked as a pediatric nurse for 19 years. She helped create the nurse-driven protocol for topical anesthetics prior to intravenous insertion for the pediatric population across the health system Allison Guimera, MD, FAAP, worked as a pediatric hospitalist at UCLA Health and currently practices outpatient pediatrics with UCLA Health. She is a board-certified pediatrician and a fellow of the American Academy of Pediatrics Grace Deukmedjian, MD, is a pediatric hospitalist at UCLA Health. Her expertise is in global health, social justice and equity, medical education, and humanities in medicine Pamela S. Miller, PhD, RN, ACNP, CNS, PHN, EBP(CH), is a senior nurse scientist in the Center for Nursing Excellence at UCLA Health, where she directs the research, evidence-based practice, and innovation programs. Her research focuses on symptom science
Grace Sund University of California Los Angeles Medical Center, Santa Monica, California (Ms Lozano); University of California Los Angeles Mattel Children's Hospital, Los Angeles, California (Ms Sund); University of California Los Angeles Health, Los Angeles, California (Drs Guimera, Deukmedjian, and Miller) Sally Lozano, BSN, RN, CPN , has worked as a pediatric nurse for 15 years at University of California Los Angeles (UCLA) Medical Center. She was recently promoted to clinical nurse manager in the general pediatric unit. Ms Lozano has extensive experience placing and teaching techniques for successful peripheral intravenous catheter insertions Grace Sund, MSN, RN, CPNP, CPHON, is a clinical nurse specialist in pediatrics at UCLA Mattel Children's Hospital and has worked as a pediatric nurse for 19 years. She helped create the nurse-driven protocol for topical anesthetics prior to intravenous insertion for the pediatric population across the health system Allison Guimera, MD, FAAP, worked as a pediatric hospitalist at UCLA Health and currently practices outpatient pediatrics with UCLA Health. She is a board-certified pediatrician and a fellow of the American Academy of Pediatrics Grace Deukmedjian, MD, is a pediatric hospitalist at UCLA Health. Her expertise is in global health, social justice and equity, medical education, and humanities in medicine Pamela S. Miller, PhD, RN, ACNP, CNS, PHN, EBP(CH), is a senior nurse scientist in the Center for Nursing Excellence at UCLA Health, where she directs the research, evidence-based practice, and innovation programs. Her research focuses on symptom science
Allison Guimera University of California Los Angeles Medical Center, Santa Monica, California (Ms Lozano); University of California Los Angeles Mattel Children's Hospital, Los Angeles, California (Ms Sund); University of California Los Angeles Health, Los Angeles, California (Drs Guimera, Deukmedjian, and Miller) Sally Lozano, BSN, RN, CPN , has worked as a pediatric nurse for 15 years at University of California Los Angeles (UCLA) Medical Center. She was recently promoted to clinical nurse manager in the general pediatric unit. Ms Lozano has extensive experience placing and teaching techniques for successful peripheral intravenous catheter insertions Grace Sund, MSN, RN, CPNP, CPHON, is a clinical nurse specialist in pediatrics at UCLA Mattel Children's Hospital and has worked as a pediatric nurse for 19 years. She helped create the nurse-driven protocol for topical anesthetics prior to intravenous insertion for the pediatric population across the health system Allison Guimera, MD, FAAP, worked as a pediatric hospitalist at UCLA Health and currently practices outpatient pediatrics with UCLA Health. She is a board-certified pediatrician and a fellow of the American Academy of Pediatrics Grace Deukmedjian, MD, is a pediatric hospitalist at UCLA Health. Her expertise is in global health, social justice and equity, medical education, and humanities in medicine Pamela S. Miller, PhD, RN, ACNP, CNS, PHN, EBP(CH), is a senior nurse scientist in the Center for Nursing Excellence at UCLA Health, where she directs the research, evidence-based practice, and innovation programs. Her research focuses on symptom science
Grace Deukmedjian University of California Los Angeles Medical Center, Santa Monica, California (Ms Lozano); University of California Los Angeles Mattel Children's Hospital, Los Angeles, California (Ms Sund); University of California Los Angeles Health, Los Angeles, California (Drs Guimera, Deukmedjian, and Miller) Sally Lozano, BSN, RN, CPN , has worked as a pediatric nurse for 15 years at University of California Los Angeles (UCLA) Medical Center. She was recently promoted to clinical nurse manager in the general pediatric unit. Ms Lozano has extensive experience placing and teaching techniques for successful peripheral intravenous catheter insertions Grace Sund, MSN, RN, CPNP, CPHON, is a clinical nurse specialist in pediatrics at UCLA Mattel Children's Hospital and has worked as a pediatric nurse for 19 years. She helped create the nurse-driven protocol for topical anesthetics prior to intravenous insertion for the pediatric population across the health system Allison Guimera, MD, FAAP, worked as a pediatric hospitalist at UCLA Health and currently practices outpatient pediatrics with UCLA Health. She is a board-certified pediatrician and a fellow of the American Academy of Pediatrics Grace Deukmedjian, MD, is a pediatric hospitalist at UCLA Health. Her expertise is in global health, social justice and equity, medical education, and humanities in medicine Pamela S. Miller, PhD, RN, ACNP, CNS, PHN, EBP(CH), is a senior nurse scientist in the Center for Nursing Excellence at UCLA Health, where she directs the research, evidence-based practice, and innovation programs. Her research focuses on symptom science
Pamela S Miller University of California Los Angeles Medical Center, Santa Monica, California (Ms Lozano); University of California Los Angeles Mattel Children's Hospital, Los Angeles, California (Ms Sund); University of California Los Angeles Health, Los Angeles, California (Drs Guimera, Deukmedjian, and Miller) Sally Lozano, BSN, RN, CPN , has worked as a pediatric nurse for 15 years at University of California Los Angeles (UCLA) Medical Center. She was recently promoted to clinical nurse manager in the general pediatric unit. Ms Lozano has extensive experience placing and teaching techniques for successful peripheral intravenous catheter insertions Grace Sund, MSN, RN, CPNP, CPHON, is a clinical nurse specialist in pediatrics at UCLA Mattel Children's Hospital and has worked as a pediatric nurse for 19 years. She helped create the nurse-driven protocol for topical anesthetics prior to intravenous insertion for the pediatric population across the health system Allison Guimera, MD, FAAP, worked as a pediatric hospitalist at UCLA Health and currently practices outpatient pediatrics with UCLA Health. She is a board-certified pediatrician and a fellow of the American Academy of Pediatrics Grace Deukmedjian, MD, is a pediatric hospitalist at UCLA Health. Her expertise is in global health, social justice and equity, medical education, and humanities in medicine Pamela S. Miller, PhD, RN, ACNP, CNS, PHN, EBP(CH), is a senior nurse scientist in the Center for Nursing Excellence at UCLA Health, where she directs the research, evidence-based practice, and innovation programs. Her research focuses on symptom science

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Cozzi G, Valerio P, Kennedy R. A narrative review with practical advice on how to decrease pain and distress during venepuncture and peripheral intravenous cannulation. Acta Paediatr 2021;110:423-432. [PMID: 32772423 DOI: 10.1111/apa.15526] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 01/08/2023]

Halili H, Azizkhani R, Tavakoli Garmaseh S, Jafarpisheh MS, Heydari F, Masoumi B, Maghami Mehr A. Comparing the Effect of Lidocaine-Prilocaine Cream and Infiltrative Lidocaine on Overall Pain Perception During Thoracentesis and Abdominocentesis: A Randomized Clinical Trial. Anesth Pain Med 2020;11:e106275. [PMID: 34249663 PMCID: PMC8256634 DOI: 10.5812/aapm.106275] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 08/23/2020] [Accepted: 09/20/2020] [Indexed: 02/07/2023] Open

Abstract

Background

Acute pain management is a core ethical commitment to medical practice. However, there is evidence to suggest that sometimes infiltrative lidocaine (IL) is not used prior to thoracentesis and abdominocentesis due to the belief that two needles cause greater pain than one. However, topical anesthetics like lidocaine-prilocaine cream (LPC) are painless, easy to use, and have less systemic side effects. Therefore, LPC can be a suitable substitute for medical procedures.

Objectives

This study was designed to compare the analgesic effects of LPC with IL in thoracentesis and abdominocentesis.

Methods

Patients were divided into two study groups, including individuals seeing a physician for a thoracentesis (N = 36) and those seeing a physician for an abdominocentesis (N = 33). Patients were randomly assigned to the IL (N = 35) or LPC (N = 34) groups for diagnostic and/or therapeutic purposes. The IL group received 100 mg of 2% lidocaine 5 minutes prior to their procedure, whereas the LPC group received 2.5 g of lidocaine-prilocaine cream. The cream was spread over a 20 - 25 cm² area and occluded with dressing plaster for 30 minutes prior to the procedure. In both study groups, the thoracentesis and abdominocentesis were ultrasound-guided.

Results

The findings suggest a non-significant difference between overall pain perception in LPC and IL groups generally, as well as specifically in abdominocentesis and thoracentesis groups. Furthermore, the result remained the same after controlling for confounding variables. The number of attempts to perform successful abdominocentesis was significantly higher in the LPC than IL (P-value = 0.003) group but was not significant in the thoracentesis group (P-value = 0.131). The level of patient satisfaction in the LPC and IL groups were not significantly different (P-value > 0.05).

Conclusions

Overall, LPC appears to be an appropriate alternative to IL in reducing pain during thoracentesis and abdominocentesis, but it seemed to increase unsuccessful medical procedure attempts.

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