Topical analgesic may provide pain-free 'skin glue' repair of cuts in children

More than 50% of children who were given a topical analgesic had no pain during wound repair with "skin glue," according to the results of a randomized controlled trial reported in CMAJ (Canadian Medical Association Journal).

Tissue adhesive or "skin glue" is regularly used in pediatrics to repair minor cuts but can cause pain or a .

Researchers conducted a to determine whether preapplication of lidocaine–epinephrine–tetracaine would decrease pain in children undergoing repair of minor cuts with tissue adhesive. The trial involved 221 children aged 3 months to 17 years who sought care at an academic hospital's in 2011 and 2012.

Children aged 7 or older rated their own pain using the Faces Pain Scale—Revised, a scale that helps children communicate pain using images with ; parents or guardians rated the perceived pain of younger children. In the treatment group, 51% of children reported no pain compared with 28% in the .

"Perhaps the most meaningful outcome for parents and children facing acute pain in the emergency department is how likely a procedure is to be completely pain free," writes Dr. Stuart Harman, Division of Emergency Medicine, University of Ottawa and the Ottawa Hospital Research Institute. "More than half of the patients who received lidocaine–epinephrine–tetracaine in our study (or their parents or guardians) reported no pain during adhesive application, which was nearly double the proportion of pain-free procedures reported in the placebo group."

As well, wound hemostasis was rated complete by physicians in 78% of the treatment group compared with 59% in the placebo group.

The authors suggest early application of the analgesic to all minor cuts regardless of whether they need sutures or tissue adhesives.

"Taken together with our finding that this analgesic reduces pain in tissue repairs using adhesive and improves the likelihood of a painless procedure, early application of lidocaine–epinephrine–tetracaine to all minor lacerations awaiting definitive physician repair could be a practical method of decreasing children's pain during these procedures," write the authors.

More information: www.cmaj.ca/lookup/doi/10.1503/cmaj.130269

add to favorites email to friend print save as pdf

Related Stories

Systematic pain management needed for children in ER

Oct 29, 2012

(HealthDay)—Steps to manage pain and stress in pediatric emergency medical care are recommended, according to a clinical report from the American Academy of Pediatrics (AAP) published online Oct. 29 in ...

Recommended for you

Seniors successfully withdraw from meds

Sep 19, 2014

Elderly people have proved receptive to being de-prescribed medications, as part of a trial aimed at assessing the feasibility of withdrawal of medications among older people.

Flu vaccine for expectant moms a top priority

Sep 18, 2014

Only about half of all pregnant women in the U.S. get a flu shot each season, leaving thousands of moms-to-be and their babies at increased risk of serious illness.

Experts want restrictions on testosterone drug use (Update)

Sep 17, 2014

Federal health experts said Wednesday there is little evidence that testosterone-boosting drugs are effective for treating common signs of aging in men and that their use should be narrowed to exclude millions of Americans ...

User comments