Abstract | STUDY OBJECTIVE: DESIGN: Unblinded, prospective. SETTING: An urban pediatric emergency department. TYPE OF PARTICIPANTS: Thirty-five children aged 20 months to 18 years with lacerations of the face, outer lip, and scalp. INTERVENTIONS: MEASUREMENTS AND MAIN RESULTS:
Lacerations were located on the face or outer lip in 25 patients and on the scalp in ten patients. Larger lacerations (length of more than 5 cm and/or depth of more than 5 mm) occurred in nine patients. The average dose of adrenaline- cocaine gel applied per laceration was 0.35 mL (containing 40 mg cocaine). One hundred ninety-five sutures were placed (175 cutaneous, 20 subcutaneous); 192 (98.5%) were placed without eliciting any pain. There were no observed adverse reactions with adrenaline- cocaine gel administration or reported complications of wound healing in any patient. CONCLUSION:
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Authors | W A Bonadio, V R Wagner |
Journal | Annals of emergency medicine
(Ann Emerg Med)
Vol. 21
Issue 12
Pg. 1435-8
(Dec 1992)
ISSN: 0196-0644 [Print] United States |
PMID | 1443837
(Publication Type: Clinical Trial, Comparative Study, Journal Article)
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Chemical References |
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Topics |
- Administration, Topical
- Adolescent
- Anesthesia, Local
(adverse effects, economics)
- Child
- Child, Preschool
- Cocaine
(administration & dosage)
- Cost-Benefit Analysis
- Epinephrine
(administration & dosage)
- Facial Injuries
(surgery)
- Gels
- Humans
- Infant
- Prospective Studies
- Scalp
(injuries)
- Skin
(injuries)
- Wounds, Penetrating
(surgery)
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