Clinical Response of EMLA Cream in Decreasing Peripheral Cannulation Pain in Children

Sana Tariq; Rao Ali Shan  Khan; Arooj  Shahid; Hassan  Tariq; Tanveer Ahmed  Khan; Ahmed Bilal  Khalique

doi:10.51253/pafmj.v74i3.8826

Authors

Sana Tariq Department of Anaesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Rao Ali Shan Khan Department of Anaesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Arooj Shahid Department of Pharmacology, Army Medical College/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Hassan Tariq Department of Pathology, Armed Forces Institute of Pathology/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Tanveer Ahmed Khan Department of Anaesthesia, Combined Military Hospital Loralai/National University of Medical Sciences (NUMS) Pakistan
Ahmed Bilal Khalique Department of Surgery, Fauji Foundation Hospital Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i3.8826

Keywords:

Anaesthesia, Cannulation, Eutectic, Peripheral, Venipuncture

Abstract

Objective: To assess the clinical response of EMLA cream (Eutectic Mixture of Local Anaesthetics; 2.5% Lidocaine/2.5% Prilocaine) in decreasing peripheral cannulation pain in children.

Study Design: Quasi-experimental study.

Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from May to Aug 2021.

Methodology: This study was conducted on 80 paediatric patients who were classified as American Society of Anesthesiologists (ASA) Grades I and II and selected using non- probability consecutive sample. They underwent peripheral cannulation to maintain intravascular access for surgical procedure. The forty children in EMLA Group (Group-A) were applied 2.5 ml EMLA cream for 60 min, covered by Tegaderm® over suitable vein, while the 40 children in Control Group (Group-B) received no local anesthetic cream. Participants rated pain during venipuncture on Visual Analog Scale (VAS 0–10; 0, no pain; 10, intolerable pain).

Results: Out of 80 patients equally divided into two groups, 40(50%) were males, while 40(50%) were females. The patients included in our study had mean age of 7.35±1.5 years. In EMLA group the mean score of pain was 1.5±0.87 compared to the Control group (mean score = 7.4±1.4; p=0.001).

Conclusion: The result of our study suggests that EMLA cream is more efficacious in decreasing venipuncture pain than if no local anaesthetic cream is applied.

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