Does Topical Anesthetic Reduce Pain During Intraosseous Pin Removal in Children? A Randomized Controlled Trial

Journal of Pediatric Orthopedics
Sukhdeep K DulaiLauren A Beaupre

Abstract

The purpose of this study was to determine the effectiveness of topical liposomal lidocaine in reducing the pain perceived by children undergoing percutaneous intraosseous pin (PP) removal in the outpatient orthopaedic clinic. A triple-blinded, randomized, placebo-controlled clinical trial comparing topical liposomal lidocaine to a placebo was conducted at the Stollery Children's Hospital between September 2008 and February 2011. Subjects undergoing the removal of PP in the orthopaedic outpatient clinic between ages 3 and 16 years were recruited. A computer-generated variable-block randomization scheme was used to determine each subject's group assignment. Pain was recorded just before randomization and immediately after the procedure using the Oucher Scale (for subjects) and a 10-cm Visual Analog Scale (for parents and an observing orthopaedic technician). In a subset of individuals, follow-up telephone calls were made 24 hours postprocedure to inquire about any adverse event from the use of the topical liposomal lidocaine. Data were analyzed using the Student t test. Of a total of 296 recruited subjects, complete data were available on 281 subjects (140 intervention and 141 control). There were no significant differences betw...Continue Reading

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Citations

Jan 27, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Sylvie Le MayIsabelle Perreault
Dec 22, 2020·Journal of Children's Orthopaedics·Bejaan A JivrajKishore Mulpuri
Apr 23, 2021·The Journal of Hand Surgery, European Volume·Ee Ming ChewLam Chuan Teoh

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