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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