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Evid Based Nurs 9:41 doi:10.1136/ebn.9.2.41
  • Treatment

Use of 2% lidocaine gel during bladder catheterisation did not reduce procedure related pain in young children


 
 Q Does 2% lidocaine gel reduce the pain and discomfort of bladder catheterisation in young children?

METHODS

GraphicDesign:

randomised placebo controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (patients, healthcare providers, and {data collectors}*).

GraphicFollow up period:

3–5 minutes after bladder catheterisation.

GraphicSetting:

emergency department in an urban tertiary care facility in Memphis, Tennessee, USA.

GraphicPatients:

115 children <2 years of age (mean age 231 d, 51% boys) who were having diagnostic bladder catheterisation. Exclusion criteria were allergy to lidocaine, altered mental status, unstable status with polytrauma, and toilet trained children.

GraphicIntervention:

2% lidocaine gel, 3 ml, (n = 59) or non-anaesthetic lubricant gel (placebo) (n = 56). 1–2 ml of gel was applied to the genital mucosa for 2–3 minutes before catheterisation, and the remainder of the gel was used as …

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