A Randomized Double Blind Trial of Needle‐free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture

Abstract

In a randomized controlled trial of two modalities for local anesthesia in infant LPs, J-Tip was not superior to TA cream as measured by pain control or physiologic changes. Infant LPs performed with J-Tip were twice as likely to be successful.

Optimizing pediatric periprocedural pain management part II—Adjunct therapies to support the use of infiltrative anesthetics

“…Comparative studies between J‐tip and other topical anesthetics have been performed. Infants undergoing lumbar punctures were given either a topical placebo cream plus J‐tip delivered lidocaine versus topical EMLA cream plus J‐tip delivered saline (placebo), and no significant pain difference was observed, suggesting EMLA may be equally effective 85 . Another study looking at pediatric venipuncture found EMLA actually outperformed J‐tip, but pain scores were overall low and neither intervention significantly decreased fear 86 .…”

“…Infants undergoing lumbar punctures were given either a topical placebo cream plus J-tip delivered lidocaine versus topical EMLA cream plus J-tip delivered saline (placebo), and no significant pain difference was observed, suggesting EMLA may be equally effective. 85 Another study looking at pediatric venipuncture found EMLA actually outperformed J-tip, but pain scores were overall low and neither intervention significantly decreased fear. 86 At this V I D E O 3 This adolescent patient is undergoing planned multimodal treatment of an acne keloid on her superior chest.…”