Application of topical analgesia in triage: a potential for harm.
J Emerg Med
; 35(1): 39-41, 2008 Jul.
Article
en En
| MEDLINE
| ID: mdl-18281179
ABSTRACT
To reduce the overall time spent in the ED, triage nurses are encouraged to treat patients with a topical anesthetic cream, eutectic mixture of local anesthetics (EMLA). We present a case in which a 28-day-old neonate who was treated with EMLA cream in triage developed severe methemoglobinemia 18 hours post admission to the pediatric ward. This case demonstrates that there may be some risks associated with this approach, and that protocols for the use of EMLA at triage should include not only the indications for its use, but also need to ensure that there is a process to have the EMLA removed before patient discharge or transfer.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Prilocaína
/
Anestésicos Locales
/
Lidocaína
/
Metahemoglobinemia
Límite:
Female
/
Humans
/
Newborn
Idioma:
En
Revista:
J Emerg Med
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Israel