Pediatric emergency care
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Pediatric emergency care · Jan 2013
Randomized Controlled TrialCryotherapeutic topical analgesics for pediatric intravenous catheter placement: ice versus vapocoolant spray.
Intravenous catheter placement is one of the most common sources of pain for children in inpatient settings. We sought to compare the efficacy of 2 cryotherapeutic treatments for this procedure: vapocoolant spray versus topical ice pack. ⋯ Vapocoolant spray may be more effective than ice as an analgesic for IV insertion. Subjects were more satisfied with vapocoolant spray. Neither agent caused a decrease in successful IV insertion rates.
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Pediatric emergency care · Jan 2013
Randomized Controlled TrialEfficacy of intravenous lidocaine to reduce pain and distress associated with propofol infusion in pediatric patients during procedural sedation.
Research suggests that young children experience an increased incidence and severity of discomfort during propofol infusion. Evaluations of varied interventions to reduce or eliminate this discomfort with adult subjects suggest that premedication with intravenously administered lidocaine (0.5 mg/kg) offers the best overall effectiveness. ⋯ Our data do not support using lidocaine pretreatment to alleviate pain/discomfort in pediatric patients during propofol infusion.