The role of topical anesthetics in the treatment of pediatri
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Pediatric facial lacerations (PLACS) are a common emergency, often requiring a general anesthetic (GA) or sedation if infiltration of local anesthetic (LA) cannot be tolerated. Topical anesthetics are a well-established and accepted alternative to infiltrations for facial lacerations which can reduce the need for GA.

Secondary data analysis was carried out of 11 months attendances with PLACS following the introduction of TCA as part of a service improvement project.

Fifty-three patients had wounds suitable for use of TCA. Twenty-three patients were treated with TCA, 14 with TCA alone, and 9 with top-up local anesthetic infiltration (TCA+LA). Fourteen patients were treated using LA alone and 16 underwent GA. No adverse reactions were recorded.

In summary, topical anesthetics are a safe and effective alternative to infiltration of local anesthetic for PLACS and can be used to avoid the additional risks posed by sedation or GA. Investigators recommend more departments introduce a topical anesthetic for this purpose.

Journal of Oral And Maxillofacial Surgery
Source: https://doi.org/10.1016/j.joms.2021.05.020
Like
Comment
Share