10 COMPARATIVE EVALUATION OF EFFICACY OF EMLA CREAM AND A PLACEBO (MOISTURIZING CREAM) IN PRODUCING DERMAL ANALGESIA FOR VENOUS CANNULATION.
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 31
Abstract
BACKGROUND: Venous cannulation is the most commonly performed invasive procedure in hospital patients. It is painful and associated with a high incidence of vasovagal reactions and haemodynamic stress response in patients. OBJECTIVES: This study aims at evaluating the efficacy of EMLA cream in producing dermal analgesia for venous annulations & effect of it on hemodynamic stress response. MATERIALS AND METHODS: 100 patients of age group 12 to 18 of ASA grade I /II were selected. Patients were randomly divided into two groups (N=50). In Group A EMLA cream and in Group B Moisturizing cream was applied 60 minutes before venous cannulations. Pain was assessed with the help of 4-point scale. Pain and hemodynamic stress response( blood pressure and heart rate) was noted before and after venous cannulations. Local and systemic side effects were also noted. RESULTS : Group A patients (EMLA cream ) had lower pain scores and decreased hemodynamic stress response to venous Cannulations when compared to group B (placebomoisturing cream). Local side effects -redness was noted in only 1 patient in group A. (EMLA cream) CONCLUSION: The application of EMLA cream for venous cannulation alleviated pain and also prevented hemodynamic stress response. The main advantage being in its single dosage and easy application. EMLA cream is effective in producing dermal analgesia with less hemodynamic stress response to venous cannulation.
Authors and Affiliations
DR. NIPA DESAI
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