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
Design:
randomised placebo controlled trial.
Allocation:
concealed.
Blinding:
blinded (patients, healthcare providers, and {data collectors}*).
Follow up period:
3–5 minutes after bladder catheterisation.
Setting:
emergency department in an urban tertiary care facility in Memphis, Tennessee, USA.
Patients:
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.
Intervention:
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 …
