TREATMENT
Topical aqueous 2% lignocaine eardrops reduced ear pain in children with acute otitis media
| The first 150 words of the full text of this article appear below. |
F E Babl
Dr F E Babl, Royal Children’s Hospital, Parkville, Victoria, Australia; franz.babl@rch.org.au
Are topical aqueous 2% lignocaine (lidocaine) eardrops effective for relieving ear pain in children with acute otitis media (AOM)?
Design: randomised placebo controlled trial.
Allocation: {concealed}.*
Blinding: blinded (children, parents, clinicians administering treatment, and outcome assessors).
Follow-up period: primary outcome was assessed at 10, 20, and 30 minutes.
Setting: emergency department (ED) of a children’s hospital in Australia.
Patients: 63 children 3–17 years of age (mean age 6 y, 51% girls) who had ear pain lasting <3 days and signs of AOM (tympanic membrane with erythema, dullness, and bulging appearance). Children with evidence of tympanic membrane perforation, ventilation tubes in situ, allergy to local anaesthetic or paracetamol, epilepsy, or liver, renal, or cardiac disease were excluded.
Intervention:
3 drops of topical aqueous 2% lignocaine (n = 31) or placebo (saline) (n = 32) instilled in the
Department of Nursing Education, George Washington University, Washington, DC, USA
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