Topical anaesthetics for pain control during repair of dermal laceration

Tayeb, Baraa; Eidelman, Anthony; Eidelman, Cristy; McNicol, Ewan D; Carr, Daniel B.

doi:10.1002/14651858.cd005364.pub3

Cited by 13 publications

(7 citation statements)

References 73 publications

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“…Another study of adults with facial lacerations found addition of topical eutectic mixture of local anesthetics to routine care decreased pain and improved patient satisfaction scores [21]. A Cochrane review of 25 randomized controlled trials totaling 3,278 patients compared topical versus infiltrated anesthetics and found that topical anesthetics had no complications and provided effective pain control, with some individual studies suggesting similar efficacy to local anesthesia [22]. Topical anesthetics offer many advantages and may be underutilized.…”

Section: Sedation and Analgesiamentioning

confidence: 99%

Updates in emergency department laceration management

Otterness

Singer

2019

Clin Exp Emerg Med

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Lacerations are a common reason for patients to seek medical attention, and are often acutely managed in the emergency department. Recent studies pertaining to closure techniques, sedation and analgesia, advances in wound care, and various other topics have been published, which may enhance our understanding of this injury and improve our management practices. This article will review pertinent studies published in the past few years relevant to laceration management. Understanding the current literature and appreciating which areas warrant further investigation will help us optimize outcomes for patients who sustain laceration injuries.

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Section: Sedation and Analgesiamentioning

confidence: 99%

Updates in emergency department laceration management

Otterness

Singer

2019

Clin Exp Emerg Med

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“…A common minor surgical procedure in the discipline of general practice is the dermal laceration repair with sutures. Alleviation of the pain caused by this procedure is conventionally achieved through local anaesthetic infiltration, that is, by injection (De Lemos, 2022;Tayeb et al, 2017). However, the injection, itself, may cause significant pain, even if topical anaesthetics are applied in advance to numb the area temporarily.…”

Section: Minor Surgical Proceduresmentioning

confidence: 99%

“…However, the injection, itself, may cause significant pain, even if topical anaesthetics are applied in advance to numb the area temporarily. Accordingly, many patients, especially children, fear injections (Tayeb et al, 2017). This not only precipitates mental distress but acute physical stress too, such as, the acute stress response, otherwise known as the fight-or-flight response (Cannon, 1915), which is a survival or adaptive physiological reaction that affects the regulation of all the systems of the body, including the cardiovascular, respiratory, endocrine, gastrointestinal, nervous, muscular, and reproductive systems (Chu et al, 2022).…”

Section: Minor Surgical Proceduresmentioning

confidence: 99%

Utilization of Hypnosis

Phipps¹

2023

Preprint

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The full circle prohibition and repeal, in South Africa, from 1997 to 2007, of the utilization of hypnosis by any person not in the profession of psychology (i.e., psychotherapy) was examined to understand the causes thereof in order to prevent its deleterious re-occurrence globally, and second to examine the utilization of hypnosis in health care practice. It was found that the prohibition was erroneous, including that it was: (a) unenforceable—the occurrence of hypnosis cannot be prevented because communication necessarily invokes, often without awareness thereof, trance hypnosis and/or waking hypnosis; (b) unnecessary—the prohibition of the utilization of hypnosis by other disciplines is not a logical consequence of the prohibition of its psychotherapeutic utilization by other disciplines because its utilization in any discipline is distinct from that in any another; and (c) preventing efficacious use—the demarcation of hypnosis as belonging to psychology, and thus as single-disciplinary, prevents efficacy because this is contingent on knowledge about the mind, body, physical environment, and interaction, which is necessarily of a multidisciplinary nature. Having identified that hypnosis cannot be prevented, only utilized, is content free, and can effect profound learning, it was concluded that the potential utilization of hypnosis in, and thus refiguration of, the practice of multidisciplinary health care is limited only by every discipline’s awareness, training, and integrated utilization thereof in medicine, surgery, and/or communication for mental and/or physical illness and/or disease. The paper concludes with illustrations of how hypnosis may be utilized in treatment and therapy disciplines respectively.

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“…However the process of injecting this medication into the skin and subsequent infiltration of tissue can cause discomfort and anxiety in patients, especially in children and those with a needle phobia. Therefore the use of topical agents, for example gels or solutions, to deliver local anaesthetic has been proposed as an alternative (Tayeb et al, 2018). These medications need to be managed carefully as high doses can lead to adverse side effects including hypotension, cardiac arrhythmias, double vision and seizures (Stoelting, 1999).…”

Section: Introductionmentioning

confidence: 99%