P16.02 The effect fo pain reduction during frame fixation in the stereotactic radiosurgery by the pre-fixation time advanced local anesthesia under the needle cap guidance with marking of pin site

ABSTRACT Introduction Pain control is an integral part of modern dentistry. Needle injection of local anesthetic which is the commonest modality of pain control itself proves to be painful for the child. Hence, it is important for the pediatric dentists to resort to a pain free method of administering local anesthesia for a patient. Topical anesthetics have proven to reduce the pain experience during administration of local anesthetic injection. The aim of this study is to evaluate and compare the efficacy of two topical anesthetic agents—EMLA 5% cream (Eutectic mixture of local anesthetics—Lignocaine 2.5% and prilocaine 2.5%) and Benzocaine 20% gel in reducing the pain during administration of local anesthetic injection in children. Materials and methods EMLA 5% cream and Benzocaine 20% gel were used in the study. Children from mixed dentition age group between 6 and 9 years of age were selected. The two selected topical anesthetics were applied on buccal mucosa at two different appointments in a given child, following which the local anesthetic was administered on the test site. The pain responses of the child were evaluated using the Wong Baker Faces Pain Rating Scale. The results were then statistically analyzed using Mann-Whitney U-test. Results EMLA 5% cream was three times highly effective in pain reduction than Benzocaine 20% gel. Conclusion EMLA 5% cream is comparatively better than benzocaine 20% gel with regards to pain reduction during the administration of local anesthetic injection in children. How to cite this article Walimbe H, Muchandi S, Bijle MNA, Bendgude V, Deshpande R, Dolas A, Chaturvedi S. Comparative Evaluation of the Efficacy of Topical Anesthetics in Reducing Pain during Administration of Injectable Local Anesthesia in Children. World J Dent 2014;5(2):129-133.

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Pain Reduction and Mood Improvement Using Supplementary Music Therapy Intervention During Flexible Cystoscopy under Local Anesthesia: A Prospective, Single-Blinded, Randomized Controlled Study

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2019.08.697 ◽

2019 ◽

Vol 229 (4) ◽

pp. S319

Author(s):

Ilias Aizat Sabri ◽

Wan Zain Wan Zainira

Keyword(s):

Music Therapy ◽

Local Anesthesia ◽

Pain Reduction ◽

Randomized Controlled Study ◽

Controlled Study ◽

Flexible Cystoscopy ◽

Randomized Controlled ◽

Therapy Intervention

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Upper-Extremity Nerve Decompression Under Local Anesthesia: A Systematic Review of Methods for Reduction of Postoperative Pain and Opioid Consumption

Hand ◽

10.1177/1558944719843635 ◽

2019 ◽

Vol 15 (4) ◽

pp. 447-455

Author(s):

Yehuda Chocron ◽

Albaraa Aljerian ◽

Stephanie Thibaudeau

Keyword(s):

Systematic Review ◽

Postoperative Pain ◽

Upper Extremity ◽

Local Anesthesia ◽

Pain Reduction ◽

Opioid Consumption ◽

Health Concern ◽

Specific Patient ◽

Nerve Decompression ◽

Prescription Practices

Background: Opioid abuse is a major health concern in North America. Data have shown an alarming increase in opioid-related deaths and complications, which has shed light on current prescription practices across many specialties, including hand surgery. To that end, we sought to conduct a focused literature review to determine the available modalities to decrease postoperative pain and opioid consumption following upper-extremity nerve decompression procedures, taking advantage of the homogeneity and inherent pain pathways of this specific patient cohort. Methods: A systematic review of the literature was conducted. Primary studies evaluating perioperative and intraoperative modalities for postoperative pain reduction and analgesic consumption following upper-extremity nerve decompression procedures under local anesthesia were included. Studies implementing modalities requiring non–hand surgeon expertise (ie, intravenous sedation), as well as studies that include non–nerve decompression procedures, were excluded. Results: A total of 1478 studies were identified, and 9 studies were included after full-text review. Six studies evaluated intraoperative and 3 studies evaluated preoperative and postoperative modalities. Successful interventions included buffered anesthetic, the use of hyaluronidase, and varying techniques and mixtures for anesthetic administration. No successful preoperative or postoperative modalities were identified. Conclusion: Despite data reporting on the dangers associated with current opioid prescription practices, evidence-based modalities to decrease postoperative pain and opioid consumption are limited in general. Several intraoperative modalities do exist, and nonopioid oral analgesics, standardized opioid protocols, and reduced postoperative prescriptions can be used. Large randomized controlled trials evaluating perioperative modalities for pain reduction are needed to further address this issue.

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