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  • Parent application of eutectic mixture of local anaesthetics seemed to be as effective as clinician application for reducing children's pain and distress during intravenous insertion

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Parent application of eutectic mixture of local anaesthetics seemed to be as effective as clinician application for reducing children's pain and distress during intravenous insertion

https://doi.org/10.1136/ebn.3.1.11

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    Koh JL, Fanurik D, Stoner J, et al. Efficacy of parental application of eutectic mixture of local anesthetics for intravenous insertion. Pediatrics1999 Jun;103:1–5.OpenUrlAbstract/FREE Full Text

    QUESTION: Is parent application of eutectic mixture of local anaesthetics (EMLA) as effective as clinician application for reducing children's pain and behavioural distress during intravenous (IV) insertion?

    Design

    Randomised (unclear allocation concealment), blinded (clinician) trial.

    Setting

    An outpatient gastrointestinal (GI) clinic in the US.

    Patients

    41 children of 2 age groups (younger group 5–12 y, mean age 9 y and older group 13–18 y, mean age 15 y) who were scheduled for elective outpatient GI endoscopy with IV sedation. Children were excluded if they could not understand the visual analogue scale (VAS). Follow up was 88%.

    Intervention

    After stratification by age group, children were allocated to parent (n=11 in the younger group, n=10 in …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Dr J L Koh, Arkansas Children's Hospital, Pediatric Anesthesia and Pain Management, 800 Marshall St, Slot 203, Little Rock, AR 72202−3591, USA. Fax +1 501 320 2939.