title: [Administration of 5% +EMLA cream for local anesthesia in ambulatory pediatric surgery].
abstract: The use of local anaesthesia has been advocated by most pediatric surgeons in order to cut down hospitalization costs as well as to avoid general anaesthesia. In 1992, 26 patients aged 4 to 14 years (avg. 8 years) underwent small surgical procedures with local anesthesia, obtained by the application of EMLA cream 60 to 120 minutes prior to the procedure. EMLA cream is aneutectic mixture of lidocaine and prilocaine with a meeting point at a lesser temperature than the two compounds separately. In this way, concentration of anaesthetics increases up to 80% in the emulsion droplets. This preparation enables small operations to be performed under local anesthesia even in small children who can be safely treated as outpatients. Disadvantages due to the long time necessary for optimal action can be overcome by application of the cream at home by the parents themselves.
authors.affiliation: Istituto di Ricerca Scientifica, Ospedale Pediatrico Bambino Gesù, Roma.
authors.forename: A
authors.initials: A
authors.lastname: Zaccara
authors.forename: A
authors.initials: A
authors.lastname: Spagnoli
authors.forename: M
authors.initials: M
authors.lastname: Broggi
authors.forename: M
authors.initials: M
authors.lastname: Silveri
authors.forename: G
authors.initials: G
authors.lastname: Broggi
mesh_terms: D000287:Administration, Topical; D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D000779:Anesthetics, Local; D002648:Child; D002675:Child, Preschool; D004338:Drug Combinations; D006801:Humans; D008012:Lidocaine; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine
chemical_list: D000779:Anesthetics, Local; D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine; D008012:Lidocaine
vernacular_title: Applicazioni della pomata EMLA 5% per anestesia locale in chirurgia pediatrica ambulatoriale.