title: Premedication with EMLA cream for ambultory surgery in children.
abstract: Objectives: The objective of this study was to confirm the ability of EMLA(R) cream (Eutectic Mixture of Local Anaesthetics, Astra, Sweden) to provide effective dermal analgesia after topical application on the skin of the dorsum of the hand 1 h before venous cannulation for anaesthetic induction. Material and Methods: Prospective, randomized, double blind study. We included 100 children, ASA I-III, distributed into three groups: Group EMLA (E, n=34), Placebo (P, n=33) and Control (C, n=33). Results: The EMLA group of patients (E) refered an evaluation of pain (visual analogical scale (mean=2.34+/-2.41), significantly smaller than the other groups (Placebo=5.54+/-3.40, Control=6.03+/-2.77). Conclusion: EMLA cream, when topically applied 1 h before venous cannulation, provides effective dermal analgesia for venous cannulation. No general or local adverse reactions were observed.
authors.affiliation: Department of Anesthesiology, Reanimation and Pain Treatment, Hospital de Conxo, University Hospital Complex of Santiago de Compostela, Barcelona, Spain
authors.initials: A
authors.lastname: Santiago
authors.initials: P
authors.lastname: Abad
authors.initials: C
authors.lastname: Fernandez
authors.initials: JC
authors.lastname: Fernandez-Rial
authors.initials: M
authors.lastname: Barcena
authors.initials: J
authors.lastname: Medina