TOPICAL ANAESTHESIA FOR ARTERIAL CANNULATION: EMLA CREAM VS LIGNOCAINE SPRAY

Dr. Mumtaz Hussain; Dr Rajesh Kumar

Volume : VIII, Issue : VII, July - 2019

TOPICAL ANAESTHESIA FOR ARTERIAL CANNULATION: EMLA CREAM VS LIGNOCAINE SPRAY

Dr. Mumtaz Hussain, Dr Rajesh Kumar

Abstract :

Background:An intra–arterial cannulation is the most commonly performed invasive procedure in hospital patients especially if wide fluctuations in blood pressure is anticipated following an elective surgery. It is painful and associated with a high incidence of vasovagal reactions and pressor responses in patients. Objectives: To evaluate the efficacy of eutectic mixture of local anaesthetic (EMLA) cream on compå it with Lidocaine 10% w/w Local Anaesthetic Spray producing dermal analgesia in response to intra–arterial cannulation. Material and Method: A total of 100 patients were selected randomly of either sex, and divided into two groups. In group–I EMLA cream was applied and in group–II 10 % lignocaine spray were applied over the cannulation area. Pain for Intra–arterial cannulation was assessed by VAS scale. Results: The mean pain score for intra–arterial cannulation in patients with EMLA cream was comparable to 10 % lignocaine spray and was statistically not significant.Conclusion: EMLA cream as well as 10 % lignocaine spray is equally effective in producing dermal analgesia in response to arterial cannulation