We are currently using EMLA cream and on rare occasion Gebauers pain ease for accessing ports. Could someone share with me what they are using, and if there is any references on preferred topicals to use? thanks
We are currently using EMLA cream and on rare occasion Gebauers pain ease for accessing ports. Could someone share with me what they are using, and if there is any references on preferred topicals to use? thanks
Could I ask why you want to swap from EMLA, is it not considered safe?? or is the hours wait too long
Too long- pt in emergency room
I know that time may be an issue, but you could look at the synera patch; www.synera.com; however, I think it takes about 20 minutes to provide the desired effect.
Try LMx creme: comes in a 5 gram tube. It's 4% topical lidocaine. Takes about 15 to 20 minutes to work. Our PICC team applies to it the upper arm prior to washing and prepping the upper arm for PICC placement. I leave it on for about 10 minutes. It takes the edge off of the first needle sticks with the lidocaine. BTW, we use 2% lidocaine, buffered with sodium bicarb, up to 2 -3 mls depending on depth with a 30 gauge needle. Patients say they feel pressure but most don't feel pain.
For an implanted port, by the time you gather your supplies, set up, do your patient assessment & VS, 10-15 min will likely have elapsed and it will be numb. Try it. If you call Ferndale Labs, they may send you some samples to try.
Nadine Nakazawa, RN, BS, VA-BC
In my experience, LMX4 requires 30 minutes for full effectiveness. We do not want to leave it on less time and have the child not trust the cream (or us) becuase they weren't numb. However, I can appreciate that "taking the edge off" would be benefical for adults as long as they do not expect complete numbness.