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Topical aqueous 2% lignocaine eardrops reduced ear pain in children with acute otitis mediaCommentary

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F E Babl

Dr F E Babl, Royal Children’s Hospital, Parkville, Victoria, Australia; franz.babl@rch.org.au

QUESTION

Are topical aqueous 2% lignocaine (lidocaine) eardrops effective for relieving ear pain in children with acute otitis media (AOM)?

METHODS

Design:

randomised placebo controlled trial.

Allocation:

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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 …

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