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EMLA cream in burns: A systematic review of safety, analgesic efficacy, and effects on burn pathophysiology.
J Plast Reconstr Aesthet Surg
August 2024
Department of Plastic Surgery and Burn Treatment, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.
Aim: Management of procedural pain in burn care is challenging. Lidocaine-prilocaine cream 5%, eutectic mixture of local anesthetics (EMLA®), is a widely used, effective local anesthetic cream approved for normal intact skin, genital mucosa for superficial surgical procedures, and debridement of chronic leg ulcers. This comprehensive review aimed to determine the safety, analgesic efficacy, and effects of EMLA on burn pathophysiology to provide evidence-based clinical recommendations for introducing the topical anesthetic into burn care.
View Article and Find Full Text PDFMethaemoglobinaemia in pregnancy with chronic kidney disease an uncommon case: A case report.
J Pak Med Assoc
February 2022
Department of Nephrology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
The development of methaemoglobinaemia due to prilocaine, which is used for local anaesthesia, is a rare, life-threatening, but well-known side effect. The development of this side-effect in a pregnant patient with chronic kidney disease can lead to foetal distress. The case presented here is of a 21-year old pregnant female with chronic kidney disease who required haemodialysis in the 22nd week of pregnancy due to the progression to end-stage kidney disease.
View Article and Find Full Text PDF[Liposuction with consequences: what to consider when using prilocaine].
Handchir Mikrochir Plast Chir
August 2021
Spital Thurgau AG, Hand- und Plastische Chirurgie.
Aetiologically, prilocaine-induced methaemoglobinaemia is a rare form of acquired methaemoglobinaemia, which occurs rarely in the first place. The following report highlights a potentially dangerous complication arising after application of prilocaine during liposuction.A young female visited the Accident and Emergency Department following a pre-syncopal fall.
View Article and Find Full Text PDFPrilocaine-induced Methemoglobinemia.
J Coll Physicians Surg Pak
August 2017
Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey.
A Case Report of Prilocaine-Induced Methemoglobinemia after Liposuction Procedure.
Case Rep Emerg Med
July 2015
Clinic of Plastic and Reconstructive Surgery, Muğla Sıtkı Koçman University Training and Investigation Hospital, Orhaniye Mahallesi Haluk Ozsoy Caddesi, 48000 Mugla, Turkey.
Prilocaine-induced methemoglobinemia is a rarely seen condition. In this paper, a case is presented with methemoglobinemia developed secondary to prilocaine use in a liposuction procedure, and the importance of this rarely seen condition is emphasized. A 20-year-old female patient presented with complaints of prostration, lassitude, shivering, shortness of breath, and cyanosis.
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