title: Optimizing local anesthesia for grommet insertion: eutectic mixture of local anaesthetics versus Ametop: a randomized clinical trial.
abstract: OBJECTIVE
  To compare the effect of eutetic mixture of local anesthetics (EMLA) with Ametop in providing local anesthesia for grommet insertion.
  
  
  METHODS
  Double-blind randomized clinical trial.
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Forty-one adult patients diagnosed with otitis media with effusion were recruited into the trial and underwent grommet insertion under local anesthesia; 21 were randomly allocated to the EMLA group and 20 to the Ametop group.
  
  
  METHODS
  The primary outcome measure of the study was the level of pain experienced by the patient. The secondary outcome measure was the overall satisfaction with the procedure. Both measures were assessed using visual analogue scales.
  
  
  RESULTS
  Both the topical anesthetic agents provided good pain relief during grommet insertion. There was no statistically significant difference in the pain or satisfaction scores.
  
  
  CONCLUSIONS
  Both EMLA and Ametop can provide good local anesthetic effect during grommet insertion.
authors.affiliation: South Manchester University Hospital, Manchester, United Kingdom. jayanichani@hotmail.com
authors.forename: Jaya
authors.initials: J
authors.lastname: Nichani
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Camilleri
authors.forename: Stephen
authors.initials: S
authors.lastname: Broomfield
authors.forename: Shakeel
authors.initials: S
authors.lastname: Saeed
mesh_terms: D000779:Anesthetics, Local / Q000627:therapeutic use*; D004311:Double-Blind Method; D006801:Humans; D008012:Lidocaine; D000077442:Lidocaine, Prilocaine Drug Combination; D008876:Middle Ear Ventilation / Q000379:methods*; D010146:Pain / Q000517:prevention & control; D017060:Patient Satisfaction; D011318:Prilocaine; D013748:Tetracaine / Q000627:therapeutic use*
chemical_list: D000779:Anesthetics, Local; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D013748:Tetracaine; D008012:Lidocaine