Digital versus Local Anesthesia for Finger Lacerations: A Randomized Controlled Trial

Chale, Stuart; Singer, Adam J.; Marchini, Scott; McBride, Mary Jo; Kennedy, David W.

doi:10.1111/j.1553-2712.2006.tb00276.x

Cited by 9 publications

(19 citation statements)

References 18 publications

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“…They are preferable to local injections because they require reduced doses of agent and do not involve physical alteration of the tissue in question. 43…”

Section: Common Regional Anesthetic Techniquesmentioning

confidence: 99%

Role of Regional Anesthesia in Foot and Ankle Surgery

Vadivelu

Kai

Maslin

et al. 2015

Foot & Ankle Specialist

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“…They are preferable to local injections because they require reduced doses of agent and do not involve physical alteration of the tissue in question. 43…”

Section: Common Regional Anesthetic Techniquesmentioning

confidence: 99%

Role of Regional Anesthesia in Foot and Ankle Surgery

Vadivelu

Kai

Maslin

et al. 2015

Foot & Ankle Specialist

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“…Regarding the exposure or administration times, although Patterson, in 1998 [ 33 ], reported that the exposure time for topical anesthetics should be 20–30 min for LAT and between 30 min and 2 h for EMLA ® cream, recent studies have suggested the need for a shorter exposure time to achieve anesthesia, with exposure times ranging from 5 or 15 min [ 34 ] to 20 min [ 35 ] for the gel LAT, and 45 min, 60 min [ 17 ], or up to 2 h [ 36 ] for EMLA ® cream.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Navarro-Rodriguez

Suárez-Serrano

Martín-Valero

et al. 2021

JCM

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The treatment of dermal injuries is associated with pain in both adult and pediatric populations. We reviewed traditional treatments for controlling the pain of these lesions, such as infiltrated local anesthetics and topical local anesthetics. The objective of this review was to elucidate the efficacy of topical anesthetics in reducing the pain of dermal injuries, as well as the efficacy of topical anesthetics versus other anesthetics, or versus a placebo. Methodology: a systematic review was carried out by searching Medline (PubMED), Scopus, Cinahl, Cochrane, Lilacs, and ENFISPO for randomized clinical trials on the control of pain in dermal lesions through the use of topical anesthetics, versus a placebo or versus another anesthetic. Results: twelve randomized clinical trials with a total of 952 patients were included. Seven studies analyzed the efficacy of topical anesthetics compared to a placebo, and six of them observed statistically significant differences in favor of the experimental group. Five studies analyzed the efficacy of topical anesthetics compared to other anesthetics or sedatives; three of them observed statistically significant differences in favor of the experimental group, and two found no difference between the anesthetics analyzed. Conclusion: topical anesthesia is a useful method for pain control, is safe compared to other traditional methods, and offers a satisfactory form of pain relief in relation to infiltration anesthesia and compared to placebo.

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“…In another similar study, which mentioned topical anesthesia prior to the actual anesthesia, no differences were observed between digital block and infiltration anesthesia in terms of needle entry, infiltration of medication, or suture pain. In one patient extra anesthesia was required (8).…”

Section: Discussionmentioning

confidence: 99%

Comparison of local infiltration anesthesia and peripheral nerve block:a randomized prospective study in hand lacerations

Şener¹,

Demircan²,

Keleş³

et al. 2015

Turk J Med Sci

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Background/aim: To compare local infiltration anesthesia (LIA) and peripheral nerve block (PNB) in repairing hand lacerations. Materials and methods:This prospective study was designed as a randomized, controlled, unblinded trial. Fifty four patients with hand lacerations were included in the study. While 23 of these patients had LIA, PNB was performed in the remaining 31 patients. Lidocaine hydrochloride 2% and 27 gauge needles were used. Onset time of the anesthesia, response to the injection and suturing procedures, need for additional anesthetic, and patient satisfaction were compared.Results: No significant differences were noted between the groups in terms of response to injection pain and suture pain (Mann-Whitney U; P = 0.220/P = 0.316). There were also no significant differences between the groups when patient satisfaction (chi-square; P = 0.785) and need for additional local anesthetics (Fisher's exact; P = 0.628) were evaluated. The time to loss of pinprick sensation in the local infiltration group was 1.3 min, whereas in the nerve block group it was 2.2 min. The difference was statistically significant (Mann-Whitney U; P < 0.001). Conclusion:Despite the fact that performing PNB in emergency departments requires some experience, it still counts as a convenient method comparable to LIA.

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Digital versus Local Anesthesia for Finger Lacerations: A Randomized Controlled Trial

Abstract: Digital and local anesthesia of finger lacerations with prior application of LET to all wounds results in similar pain of needle insertion, anesthetic infiltration, and pain of suturing.

Cited by 9 publications

References 18 publications

Role of Regional Anesthesia in Foot and Ankle Surgery

Role of Regional Anesthesia in Foot and Ankle Surgery

Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Comparison of local infiltration anesthesia and peripheral nerve block:a randomized prospective study in hand lacerations

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