جستجوی مقالات مرتبط با کلیدواژه "emla" در نشریات گروه "پزشکی"

Pain management is one of the important issues in dental treatments. Fear of pain can make the process of anesthesia injection before dental treatment difficult for both the dentist and the patient. The aim of this study was to compare the effect of Najo-Caine P® with topical Benzocaine in reducing the pain of needle insertion in palatal anesthesia in 9-12 year old children.

In a double-blind clinical trial, 23 children aged 9-12 years were selected via convenience sampling, who needed palatal anesthesia injection on both sides of the jaw, at the Dental Clinic affiliated with Mazandaran University of Medical Sciences, in 2022. The desired areas were air-dried for 5 seconds. Benzocaine was applied with a cotton swab on one side of the jaw, and in the next session with the same preparation on the other side of the jaw, Najo-Caine P® anesthesia (2.5% lidocaine cream and 2.5% prilocaine similar to EMLA) was applied by the injector for 2 minutes.

The Visual Analogue Scale (VAS) scores for Benzocaine and Najo-Caine P® were compared. The VAS score for Najo-Caine P® (3.52) was lower than that of Benzocaine (3.78), but, the difference was not statistically significant (P= 0.488).

Current study suggests that Najo-Caine P®, as a form of EMLA cream, can be used as an alternative to Benzocaine before palatal infiltrate injection to reduce palatal pain in children.

Patients with end-stage renal failure, consider recurrent fistula cannulation pain as the most severe stress, resulted from the treatment process, and a major concern of their life. Nurses as one of the main targets of their actions, have a duty to relieve the pain. Accordingly, this study was conducted to determine the effectiveness of two topical piroxicam and EMLA on fistula cannulation pain intensity in hemodialysis patients. This clinical trial study was conducted on 75 patients referred to dialysis ward in Khorramabad Shohada hospital in 2013. Patients were randomly divided into three groups: group A (piroxicam), group B (EMLA) and group C (placebo). Data collection tools included demographic information, Visual Analogue Scale (VAS) and a checklist for possible side effects of the drugs. Pain intensity during fistula cannulation was measured in the three groups on two occasions, before and after the intervention. The collected data were then analyzed using Mann-Whitney and Kruskal-Wallis tests and SPSS19 software. The median pain intensity before and after the intervention in the three groups, was significantly different (p <0/001). The highest median pain intensity reduction was in the EMLA, piroxicam and placebo groups respectively. In addition, a short term side effect (blanching) in 16% of the subjects was detected in EMLA group. The results showed that EMLA cream was more effective than piroxicam gel in reducing the pain intensity of fistula cannulation in dialysis patients. Therefore, our study recommends to use EMLA cream as an easy method with ability to work by patients, to reduction pain during fistula cannulation in hemodialysis patients.

Injection is a usual procedures in nursing which can cause pain and this pain can lead to anxiety، discomfort and reduce the trust of the patients for the nurse’s abilities. As promoting patient''s comfort is among the nursing duty، this study was designed to compare the effect of Emla cream and cold compress on reducing the Enoxaparin injection site. This clinical trial with cross over planning study was performed on 53 inpatients at different wards of Yazd Shahid Sadughi Hospital with the order of administrating subcutaneous injection of 60mg Enoxaparine selected by convenient sampling method. EMLA cream، cold compress and control (routine intervention) were used for each case in three stages with 24 hours intervals. Site pain intensity was measured immediately after the injection by VAS and was analyzed using Fridman، Man Withney، Kruskal Wallis test by using the SPSS16 software. The mean of the severity of pain was 3/88±1/91without any interventions، 2/01±1/93 using Emla cream and 1/54±1/50 using of cold compress. There was a significant difference between the three methods (p<0/0001). Using Emla cream and cold compression reduced the pain of injection (p<0/05). But، there was not a significant differences between using these two methods on the reduction of pain. (p>0/05) According to the results of this study although using these two methods can reduce the pain in Enoxaparin injection site، as to the level of availability and cost effectiveness cold compress is suggested.