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논문 기본 정보

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학술저널
저자정보
Park, Sung Woo (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Oh, Tae Suk (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Choi, Jong Woo (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Eom, Jin Sup (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Hong, Joon Pio (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Koh, Kyung S. (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Lee, Taik Jong (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) Kim, Eun Key (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제1호
발행연도
2015.1
수록면
28 - 33 (6page)

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Background Topical anesthetics, such as eutectic mixture of local anesthetics (EMLA) cream, can be applied to reduce pain before minor procedure. This trial evaluated EMLA as pretreatment for facial lacerations and compared pain, discomfort and overall satisfaction. Methods This trial included consecutive emergency department patients ${\geq}16years$ of age who presented with simple facial lacerations. At triage, lacerations were allotted to either the routine processing group or EMLA pretreatment group according to date of admission. Initially, the emergency department doctors inspected each laceration, which were dressed with saline-soaked gauze. In the pretreatment group, EMLA cream was applied during wound inspection. The plastic surgeon then completed primary closure following the local injection of an anesthetic. After the procedure, all patients were given a questionnaire assessing pain using the 10-point visual analog scale (VAS) ("no pain" to "worst pain"). All questionnaires were collected by the emergency department nurse before discharge. Results Fifty patients were included in the routine processing group, and fifty patients were included in the EMLA pretreatment group. Median age was 39.9 years, 66% were male, and the average laceration was 2.67 cm in length. The EMLA pretreatment group reported lower pain scores in comparison with the routine processing group (2.4 vs. 4.5 on VAS, P<0.05), and lower discomfort scores during the procedure (2.0 vs. 3.3, P=0.60). Overall satisfaction was significantly higher in the EMLA pretreatment group (7.8 vs. 6.1, P<0.05). Conclusions Pretreating facial lacerations with EMLA topical cream aids patients by reducing pain and further enhancing overall satisfaction during laceration treatment.
#EMLA #Lacerations #Anesthetics, local

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참고문헌 (13)

참고문헌 신청
Hollander JE / 1999 / Laceration management / Ann Emerg Med 34:356~367 google schola Singer AJ / 2000 / Pretreatment of lacerations with lidocaine, epinephrine, and tetracaine at triage: a randomized double-blind trial / Acad Emerg Med 7:751~756 google schola Priestley S / 2003 / Application of topical local anesthetic at triage reduces treatment time for children with lacerations: a randomized controlled trial / Ann Emerg Med 42:34~40 google schola White NJ / 2004 / The anesthetic effectiveness of lidocaine-adrenaline-tetracaine gel on finger lacerations / Pediatr Emerg Care 20:812~815 google schola Singer AJ / 2001 / LET versus EMLA for pretreating lacerations: a randomized trial / Acad Emerg Med 8:223~230 google schola

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