Pediatric Orthopaedics
COA: Topical anesthetic does not reduce intraosseous pin removal pain in children
281 children were randomized to study the effects of topical liposomal lidocaine cream, compared to a placebo, in reducing pain during the removal of percutaneous intraosseous pins (PP). Patients were allocated to either application of liposomal lidocaine or a placebo cream, 30-60 minutes before removal. Pain, rated by children using Oucher scale and by parents and technicians using Visual Analog Scale, was significantly increased during removal, with no significant difference between groups in the amount of pain experienced.
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