Maggio 2013 - Volume XXXII - numero 5

Medico e Bambino


Pagine elettroniche

Efficacia anestetica del LAT gel per ferite superficiali
in una popolazione pediatrica. Già fatto?!

Elisa Benelli1, Davide Zanon2, Silvia Bressan3, Giulia Facchina1, Katy Vecchiato1, Sara Pusceddu4, Elena Neri5, Rita Giorgi5, Claudio Germani5

1Clinica Pediatrica, IRCCS Materno-Infantile “Burlo Garofolo”, Università di Trieste
2Farmacia, 5Pronto Soccorso, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
3Dipartimento della salute della donna e del bambino, Pronto Soccorso, Università di Padova
4 Clinica Pediatrica, Azienda Ospedaliero-Universitaria di Cagliari

Indirizzo per corrispondenza: elisa.benelli@gmail.com

The anaesthetic effectiveness of LAT gel on laceration in a paediatric population

Key words: LAT gel, Lacerations, Local anesthesia

Laceration’s local anesthesia is obtained by perlesional injections of lidocaine, which are painful their self. Ready-made anesthetic gel that can be put directly on the laceration with no pain and that have anesthetic and hemostatic power are available. Between these, LAT gel (lidocaine 4%, adrenaline 0,05%, tetracaine 0,5%) was found to be safe and effective. We tested safety and efficacy of LAT gel in all children with skin lacerations, avoiding mucosa, that came at the Emergency Department of Burlo Garofolo in Trieste. The suture was performed between 30 and 40 minutes after gel’s application. We recorded children, parents and operator’s pain, the need of supplemental anesthesia and the use of distraction’s techniques. We enrolled 77 children, of which 1 children was excluded because LAT gel was left on the laceration only for 10 minutes. In the other children LAT gel’s effectiveness was very high: parent and operator’s pain was VAS =2,3 and children’s pain VAS=2,7. In our cases’ record, the 93.5% of patients don’t need injective anesthesia in skin lacerations (71/76). Only 5 patients need supplemental anesthesia: 2 had heel’s lacerations, 1 finger’s laceration and the last 2 cases reported a high VAS score during suture (although the same VAS score was reported after injective anesthesia). We can conclude that LAT gel is efficacy and safe in topical anesthesia in face, scalp, legs and harms’ lacerations; whereas its efficacy seems to be lower in sole and fingers’ lacerations.

Vuoi citare questo contributo?

E. Benelli, D. Zanon, S. Bressan, G. Facchina, K. Vecchiato, S. Pusceddu, E. Neri, R. Giorgi, C. Germani. Efficacia anestetica del LAT gel per ferite superficiali ; in una popolazione pediatrica. Già fatto?! . Medico e Bambino 2013;32(5):328-330 https://www.medicoebambino.com/?id=1305_328.pdf

Pagine elettroniche

La Codeina nell’adenotonsillectomia: nuove evidenze di rischio per un vecchio farmaco

Vitalia Murgia

Pediatra di famiglia, Mogliano Veneto (TV)

Indirizzo per corrispondenza: vitalia.murgia@tin.it

Vuoi citare questo contributo?

V. Murgia. La Codeina nell’adenotonsillectomia: nuove evidenze di rischio per un vecchio farmaco. Medico e Bambino 2013;32(5):328-330 https://www.medicoebambino.com/?id=1305_328.pdf


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