Use of local anesthetic (0.25% XXXX ) for @entity158 control after pediatric cardiac catheterization: A randomized controlled trial.

@entity1 @entity1341 @entity1286 @entity158 @entity2096
OBJECTIVES: To investigate the effects of local infiltration of 0.25% @entity1341 on post-operative @entity158 and analgesic use in @entity1 undergoing cardiac catheterization procedures. BACKGROUND: In pediatric catheterization procedures performed under general anesthesia, a local anesthetic is often used prior to @entity2096 . There are no published reports of the impact of local anesthetic infiltration on @entity158 after pediatric procedures, and mixed reports on its effectiveness in adults. METHODS: A randomized controlled trial was undertaken of 140 @entity1 , aged 7-18 years undergoing cardiac catheterization under general anesthesia via the femoral vein or artery. @entity1 received a subcutaneous infiltration of 0.25% @entity1341 at the access site prior to sheath removal, or usual care without @entity1341 . Outcomes included @entity1 reported @entity158 scores and analgesic use up to 6 hr after the procedure. RESULTS: @entity158 scores were similar between groups through the 6-hr post-procedure period. The proportion of @entity1 reporting a maximal @entity158 score of  <=2/10 was higher in the @entity1341 group (64% vs. 44%, P   =   0.03). A significantly higher proportion of @entity1 in the control group required IV @entity1286 (18.8% vs. 4.5%, P   =   0.02). CONCLUSIONS: @entity1286 use can be reduced with the use of 0.25% @entity1341 given prior to @entity2096 and should be considered for post-procedural @entity158 control for pediatric @entity1 undergoing cardiac catheterization. This study is the first to contribute evidence to the effectiveness of 0.25% @entity1341 after pediatric cardiac catheterization.    2015 Wiley Periodicals, Inc.
