Paeds LA

Question 1

what complications may paeds patients have with local?

Answer 1

lower maximum doses

fear of needles or fear of local

Question 2

how can barriers to local anaesthesia be broken?

Answer 2

using topical gel or patches to decrease local pain

distract the patient when giving the needle

• touch with mirror across mouth
• talk to patient
• cold / hot stimuli

use of advanced techniques - the wand

Question 3

What two topical anaesthesias can be used for paeds? What’s the difference?

Answer 3

EMLA cream = prilocaine + lidocaine

• 45 mins to work
• good prior to GA

Ametop gel

• tetracaine
• faster onset