Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1998-4-7
pubmed:abstractText
The effectiveness of two new topical anesthetics that do not contain cocaine (prilocaine-phenylephrine and bupivacaine-phenylephrine) was compared with that of tetracaine-adrenaline-cocaine (TAC) during laceration repair in children. This study was a prospective, randomized, double-blind trial conducted in the emergency department of a large children's hospital. Participants were 180 children 1 year of age or older with a laceration 5 cm or less in length that required suturing. Pain felt during suturing was scored by suture technicians, research assistants, parents, and patients 5 years of age and older using a visual analogue scale (VAS). There was no statistical difference demonstrated between the effectiveness of prilocaine-phenylephrine and that of TAC for any of the observer groups. A statistically significant difference was seen among anesthetics when comparing VAS scores of research assistants (P = .002), suture technicians (P = .006), and parents (P = .03), but not when comparing VAS ratings of patients (P = .07). Based on Tukey's post hoc test, these statistically significant differences were between TAC and bupivacaine-phenylephrine. When power analyses were performed using alpha = 0.05 and beta = 0.20, it was possible to detect a difference of 1.3 VAS units for each rater group. In conclusion, this study demonstrated the effectiveness and safety of prilocaine-phenylephrine and bupivacaine-phenylephrine. Prilocaine-phenylephrine statistically outperformed bupivacaine-phenylephrine and offers an effective alternative to TAC during laceration repair in children.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0735-6757
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
121-4
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9517683-Adolescent, pubmed-meshheading:9517683-Anesthesia, Local, pubmed-meshheading:9517683-Anesthetics, Local, pubmed-meshheading:9517683-Bupivacaine, pubmed-meshheading:9517683-Child, pubmed-meshheading:9517683-Child, Preschool, pubmed-meshheading:9517683-Cocaine, pubmed-meshheading:9517683-Double-Blind Method, pubmed-meshheading:9517683-Emergency Service, Hospital, pubmed-meshheading:9517683-Epinephrine, pubmed-meshheading:9517683-Female, pubmed-meshheading:9517683-Hospitals, Pediatric, pubmed-meshheading:9517683-Humans, pubmed-meshheading:9517683-Infant, pubmed-meshheading:9517683-Male, pubmed-meshheading:9517683-Pain, pubmed-meshheading:9517683-Pain Measurement, pubmed-meshheading:9517683-Phenylephrine, pubmed-meshheading:9517683-Prilocaine, pubmed-meshheading:9517683-Prospective Studies, pubmed-meshheading:9517683-Safety, pubmed-meshheading:9517683-Skin, pubmed-meshheading:9517683-Suture Techniques, pubmed-meshheading:9517683-Tetracaine, pubmed-meshheading:9517683-Vasoconstrictor Agents
pubmed:year
1998
pubmed:articleTitle
Prilocaine-phenylephrine and bupivacaine-phenylephrine topical anesthetics compared with tetracaine-adrenaline-cocaine during repair of lacerations.
pubmed:affiliation
Department of Pediatrics, The Ohio State University College of Medicine, Columbus, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't