L’efficacia del LAT gel nella sutura cutanea: indagine in un Pronto Soccorso pediatrico

Silvia Mazzocca, Daniele Zanetti, Maria Benetton

Abstract

Introduzione: l’anestesia locale di ferite superficiali è usualmente effettuata con iniezioni perilesionali di lidocaina, tecnica dolorosa e che spesso induce ansia e timore nei bambini. Sono però disponibili gel anestetici che si applicano direttamente sulla ferita, in modo indolore e che creano analgesia ed emostasi e tra questi, il LAT gel (lidocaina 4%, adrenalina 0,05%, tetracaina 0,5%) è risultato sicuro ed efficace.

Full Text

PDF

Riferimenti bibliografici

KozloWsKi lJ, Kost-byerly s, colantuoni e, tHoMPson cb, vasquenza KJ, rotHMan sK et al. Pain Prevalence, Intensity, Assessment and Management in a Hospitalized Pedi- atric Population. Pain Management Nurs- ing 2014 3;15(1):22-35.

Minute M, Massaro M, barbi E. Trattamento del dolore in Pronto Soccorso. Pediatria d’Urgenza 2012 Lug-Set; 167(42):143- 150.

crocKer PJ, HigginbotHaM e, King bt, tay- lor d, Milling tJ,Jr. Comprehensive pain management protocol reduces chil- dren’s memory of pain at discharge from the pediatric ED. Am J Emerg Med 2012 Jul;30(6):861-871.

czarnecKi Ml, turner Hn, collins PM, doell- Man d,Wrona s,reynolds J.Procedural Pain Management: A Position Statement with Clinical Practice Recommendations. Pain Management Nursing 2011 6;12(2):95- 111.

fein Ja, zeMPsKy Wt, cravero JP, Commit- tee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine, American Academy of Pediatrics. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics 2012 Nov;130(5):e1391-405.

Ministero Della Salute. Il dolore nel bam- bino. Strumenti pratici di valutazione e te- rapia. 2010.

gursKy b, Kestler lP, leWis M. Psychosocial intervention on procedure-related dis- tress in children being treated for lacer- ation repair. J Dev Behav Pediatr 2010 Apr;31(3):217-222.

Kao JK, cHerng cf, tsai rc, tsao ly, Hung cy. Perception of medical care systems and stress responses in preschoolers’ care- givers at a pediatric emergency depart- ment in Taiwan. Pediatr Emerg Care 2012 Nov;28(11):1197-1202.

sMitH rW,sHaH v,goldMan rd,taddio A.Care- givers’ responses to pain in their children in the emergency department.Arch Pedi- atr Adolesc Med 2007 Jun;161(6):578- 582.

savoia g, coluzzi f, di Maria c, aMbrosio f, della corte f, oggioni R et al. Italian In- tersociety Recommendations (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC) on Pain Management in the Emergency Setting. Minerva Anestesiol 2014 May 22.

Kennedy rM, luHMann JD. Pharmacological management of pain and anxiety during emergency procedures in children. Pae- diatr Drugs 2001;3(5):337-354.

MadHoK M,teele M.Evaluation of nonphar- macologic methods of pain and anxiety management for laceration repair in the pediatric emergency department. Pediat- rics 2006 Sep;118(3):1321; author reply 1321-2.

fernandez-castillo a, vilcHez-lara MJ. Fac- tors related to dissatisfaction and anger in parents of children treated at paediat- ric emergency services.An Pediatr (Barc) 2014 May 23.

corWin dJ, Kessler do, auerbacH M, liang a, Kristinsson g. An intervention to improve pain management in the pediatric emer- gency department. Pediatr Emerg Care 2012 Jun;28(6):524-528.

zeMPsKy Wt, cravero JP, American Acade- my of Pediatrics Committee on Pediatric Emergency Medicine and Section on An- esthesiology and Pain Medicine. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics 2004 Nov;114(5):1348-1356.

Mcnulty rJ, Handley tP, devlin Mf. Reducing the need for general anaesthesia in chil- dren: use of LAT gel in treating facial lac- erations. Br J Oral Maxillofac Surg 2013 Sep;51(6):e130-1.

WHite nJ, KiM MK, brousseau dc, bergHolte J, Hennes H. The anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on nger lacerations. Pediatr Emerg Care 2004 Dec;20(12):812-815.

HarMan s,zeMeK r,duncan MJ,ying y,PetrcicH W. Ef cacy of pain control with topical li- docaine-epinephrine-tetracaine during laceration repair with tissue adhesive in children: a randomized controlled trial. CMAJ 2013 Sep 17;185(13):E629-34.

singer aJ, starK MJ. Pretreatment of lacer- ations with lidocaine, epinephrine, and tetracaine at triage: a randomized dou- ble-blind trial. Acad Emerg Med 2000 Jul;7(7):751-756.

little c, Kelly oJ, JenKins Mg, MurPHy d, Mc- carron P. The use of topical anaesthesia during repair of minor lacerations in De- partments of Emergency Medicine: A lit- erature review. International Emergency Nursing 2009 4;17(2):99-107.

cHiPont benabent e, garcia-HerMosa P, alio y sanz JL. Suture of skin lacerations us- ing LAT gel (lidocaine, adrenaline, tet- racaine). Arch Soc Esp Oftalmol 2001 Aug;76(8):505-508 (37).

berant r, scolniK d. Topical lidocaine-epi- nephrine-tetracaine is effective in reduc- ing pain during laceration repair with tissue adhesive in children. Evid Based Nurs 2013 Dec 24.

girard N. Evidence appraisal of Harman S, Zemek R, Duncan MJ, Ying Y, Petrcich W. Ef cacy of pain control with topical li- docaine-epinephrine-tetracaine during laceration repair with tissue adhesive in children: a randomized controlled trial. CMAJ. 2013;185(13):E629-E634. AORN J 2014 Apr;99(4):549-554.

(43) Wang b, Hill vK, Wilson MH, fel- stead aM. LAT gel, a powerful tool un- derused in the repair of paediatric lac- erations. Int J Oral Maxillofac Surg 2014 Aug;43(8):955-956.

benelli e, zanon d, bressan s, faccHina g, vec- cHiato K, Pusceddu s, neri e, giorgi r, gerMa- ni c. Ef cacia anestetica del LAT gel per ferite super ciali in una popolazione pe- diatrica. Medico e Bambino 2013;16(5) http://www.medicoebambino.com/?i- d=RIC1305_10.html (ultimo accesso 15/6/2014).

byczKoWsKi tl, fitzgerald M, KennebecK s, vaugHn l, Myers K, KacHelMeyer A et al. A Comprehensive View of Parental Satis- faction With Pediatric Emergency De- partment Visits. Ann Emerg Med 2013 10;62(4):340-350.

locKe r, stefano M, Koster a,taylor b, green- sPan J. Optimizing patient/caregiver sat- isfaction through quality of communi- cation in the pediatric emergency de- partment. Pediatr Emerg Care 2011 Nov;27(11):1016-1021.

le May s, JoHnston cc, cHoiniere M, fortin c, KudirKa d, Murray l et al. Pain Manage- ment Practices in a Pediatric Emergen- cy Room (PAMPER) Study: interventions with nurses. Pediatr Emerg Care 2009 Aug;25(8):498-503.

raMPoni d, beaver s, seWicKley PA. Reducing pain in pediatric procedures in the emer- gency department. Journal of Emergency Nursing, jul 2009;35(4).

loWe da, Monuteaux Mc, ziniel s, stacK aM. Predictors of parent satisfaction in pedi- atric laceration repair. Acad Emerg Med 2012 Oct;19(10):1166-1172.

Magaret nd, clarK ta, Warden cr, Magnus- son ar, Hedges Jr. Patient satisfaction in the emergency department-a survey of pediatric patients and their parents. Acad Emerg Med 2002 Dec;9(12):1379-1388.

Refback

  • Non ci sono refbacks, per ora.