European Journal of Pediatrics

, Volume 172, Issue 2, pp 265–268

Does EMLA cream application interfere with the success of venipuncture or venous cannulation? A prospective multicenter observational study

  • S. Schreiber
  • L. Ronfani
  • G. P. Chiaffoni
  • L. Matarazzo
  • M. Minute
  • E. Panontin
  • F. Poropat
  • C. Germani
  • E. Barbi
Short Communication

DOI: 10.1007/s00431-012-1866-6

Cite this article as:
Schreiber, S., Ronfani, L., Chiaffoni, G.P. et al. Eur J Pediatr (2013) 172: 265. doi:10.1007/s00431-012-1866-6

Abstract

Venipuncture and intravenous cannulation are the most common painful procedures performed on children. The most widely used topical anesthetic is eutectic mixture of local anesthetics (EMLA). EMLA use is associated with a transient cutaneous vasoconstriction which can make it difficult to identify veins. We assessed with a prospective, multicenter, observational study whether EMLA interferes with venipuncture and intravenous cannulation. The primary study outcome was a success at first attempt in the course of venipuncture or venous cannulation. The study enrolled 388 children; 255 of them received EMLA and 133 did not. Eighty-six percent of procedures were successful at the first attempt in the EMLA group and 76.7 % in the no EMLA group. Conclusion: In this study, EMLA use did not interfere with the success of venipuncture or venous cannulation in children.

Keywords

EMLA Venipuncture Venous cannulation Vasoconstriction 

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • S. Schreiber
    • 1
  • L. Ronfani
    • 1
  • G. P. Chiaffoni
    • 2
  • L. Matarazzo
    • 3
  • M. Minute
    • 3
  • E. Panontin
    • 3
  • F. Poropat
    • 3
  • C. Germani
    • 1
  • E. Barbi
    • 1
  1. 1.Institute for Maternal and Child Health—IRCCS “Burlo Garofolo”TriesteItaly
  2. 2.U.O. PediatriaOspedale CivileConegliano Veneto (TV)Italy
  3. 3.Pediatric DepartmentInstitute for Maternal and Child Health—IRCCS “Burlo Garofolo” Trieste and University of TriesteTriesteItaly

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