Does EMLA cream application interfere with the success of venipuncture or venous cannulation? A prospective multicenter observational study

S. Schreiber, L. Ronfani, G. P. Chiaffoni, L. Matarazzo, M. Minute, E. Panontin, F. Poropat, C. Germani, E. Barbi

Research output: Contribution to journalArticlepeer-review

Abstract

Venipuncture and intravenous cannulation are the most common painful procedures performed on children. The most widely used topical anesthetic is eutectic mixture of local anesthetics (EMLA). EMLA use is associated with a transient cutaneous vasoconstriction which can make it difficult to identify veins. We assessed with a prospective, multicenter, observational study whether EMLA interferes with venipuncture and intravenous cannulation. The primary study outcome was a success at first attempt in the course of venipuncture or venous cannulation. The study enrolled 388 children; 255 of them received EMLA and 133 did not. Eighty-six percent of procedures were successful at the first attempt in the EMLA group and 76.7 % in the no EMLA group. Conclusion: In this study, EMLA use did not interfere with the success of venipuncture or venous cannulation in children.

Original languageEnglish
Pages (from-to)265-268
Number of pages4
JournalEuropean Journal of Pediatrics
Volume172
Issue number2
DOIs
Publication statusPublished - Feb 2013

Keywords

  • EMLA
  • Vasoconstriction
  • Venipuncture
  • Venous cannulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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