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Topical adrenaline and cocaine gel for anaesthetising children’s lacerations. An audit of acceptability and safety
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  • Published on: 29 April 2016
    Topical anaesthesia in children

    Dear Editor

    I read kennedy et al's article regarding the use of topical cocaine and adrenaline with interest.

    I have also seen instillagel (2% lignocaine and 0.25% chlorhexidine)used with good effect when placed on childrens wounds to allow exploration and closure within the emergency department setting.

    The great advantages being that it is easily available within the department and when wo...

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    Conflict of Interest:
    None declared.
  • Published on: 29 April 2016
    Topical Anaesthesia in Children – an alternative to cocaine
    • Bimal M Mehta, Specialist Registrar
    • Other Contributors:
      • A. B. Stewart, E. J. Lawson

    Dear Editor

    The Emergency Department (ED) at Alder Hey Children’s Hospital, Liverpool has several years experience using topical adrenaline and cocaine gel (topAC) as an anaesthetic for suturing lacerations of head and body in children. We, therefore, read the article by Kennedy et al. with interest.[1]

    An audit conducted within our department showed similar results to Kennedy’s with a high degr...

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    Conflict of Interest:
    None declared.