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

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

METHODS

Embedded ImageDesign:

randomised placebo controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

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

Embedded ImageFollow up period:

3–5 minutes after bladder catheterisation.

Embedded ImageSetting:

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

Embedded ImagePatients:

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.

Embedded ImageIntervention:

2% lidocaine gel, 3 ml, (n = 59) or non-anaesthetic lubricant …

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