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Intravenous Cannulation

Use of ethyl chloride topical anesthetic to reduce procedural pain in pediatric oncology patients

Cancer Nursing, April 1, 1992; 15(2): 130-6.

Pediatric cancer patients often become anxious, agitated, combative, and uncooperative due to the pain or fear of pain during invasive procedures. Generally, it is not the actual administration of medicines that produces this reaction, but the fear of the needle stick itself.

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Analgesia for venous cannulation: a comparison of EMLA (5 minutes application), lignocaine, ethyl chloride, and nothing

Journal of the Royal Society of Medicine, May 1995; 88(5): 264-7.

Three commonly available local anaesthetics were compared, in a controlled trial, for use before venous cannulation. The pain of application of the local anaesthetic, the pain of cannulation, and the rate of successful cannulations were compared.

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A risk-benefit assessment of topical percutaneous local anaesthetics in children

Drug Safety, April 1997; 16(4): 279-87

Since its introduction, eutectic lidocaine-prilocaine cream ('EMLA')1 has been found to be an effective topical anaesthetic agent, with a high degree of efficacy, particularly for venepuncture and venous cannulation, and an impressive tolerability profile. Reports of adverse effects are remarkable for their rarity.

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Fine-needle aspiration biopsy: is anesthesia necessary?

Otolaryngology-Head and Neck Surgery, April 1999; 120(4): 458-9.

Fine-needle aspiration (FNA) of inflammatory and neoplastic head and neck masses has become a widely used procedure in otolaryngology-head and neck surgery. Using both subjective (patient perception) and objective (complication rate, accuracy) criteria, this prospective study evaluated patients undergoing FNA with and without anesthesia.

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