Analgesic gels
and sprays can be compounded to reduce pain and
bleeding secondary to lacerations. The search
for a "topical anesthetic that affords painless,
safe application, does not contain narcotics or
controlled substances, and has a maximum safety
with complete anesthesia" revealed that LAT
gel (lidocaine, adrenaline, tetracaine) is superior
to preparations containing cocaine for topical
anesthesia in laceration repair. Epinephrine (adrenaline)
in the gel helps to stop bleeding secondary to
injury.
Pediatrics 1995 Feb;95(2):255-8
Lidocaine adrenaline tetracaine gel versus
tetracaine adrenaline cocaine gel for topical
anesthesia in linear scalp and facial lacerations
in children aged 5 to 17 years.
Ernst AA, Marvez E, Nick TG, Chin E,
Wood E, Gonzaba WT
Department of Medicine, Louisiana State University,
New Orleans.
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