Topical refrigerant spray for pediatric venipuncture for outpatient surgery

Thomas Schlieve, Michael Miloro

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Anxiety in the pediatric patient population is a problem for outpatient anesthesia because of poor patient compliance during the initiation of the anesthetic technique. A variety of techniques have been used in the outpatient surgery and emergency department settings to improve cooperation in the pediatric age group or those with developmental and cognitive delay. These adjunctive techniques include the growing popularity of the use of eutectic mixtures of local anesthetic cream, nitrous oxide, oral premedication, and intramuscular injections. A highly effective technique to use during intravenous catheter insertion is the use of a refrigerant spray, ethyl chloride, to cause a transient local hypoesthesia of the skin at the venipuncture site. This technique is not associated with any significant contraindications or adverse reactions, and it should be considered for both pediatric and adult patients in the oral and maxillofacial surgery practice.

Original languageEnglish (US)
Pages (from-to)29-32
Number of pages4
JournalOral and Maxillofacial Surgery Cases
Volume1
Issue number2
DOIs
StatePublished - Jan 1 2015

Fingerprint

Phlebotomy
Ambulatory Surgical Procedures
Oral Surgery
Pediatrics
Ethyl Chloride
Hypesthesia
Premedication
Intramuscular Injections
Nitrous Oxide
Patient Compliance
Anesthetics
Hospital Emergency Service
Outpatients
Catheters
Anxiety
Anesthesia
Age Groups
Skin
Population

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology
  • Oral Surgery

Cite this

Topical refrigerant spray for pediatric venipuncture for outpatient surgery. / Schlieve, Thomas; Miloro, Michael.

In: Oral and Maxillofacial Surgery Cases, Vol. 1, No. 2, 01.01.2015, p. 29-32.

Research output: Contribution to journalArticle

@article{7028a24dd27243ac9a82df8cfc5b8297,
title = "Topical refrigerant spray for pediatric venipuncture for outpatient surgery",
abstract = "Anxiety in the pediatric patient population is a problem for outpatient anesthesia because of poor patient compliance during the initiation of the anesthetic technique. A variety of techniques have been used in the outpatient surgery and emergency department settings to improve cooperation in the pediatric age group or those with developmental and cognitive delay. These adjunctive techniques include the growing popularity of the use of eutectic mixtures of local anesthetic cream, nitrous oxide, oral premedication, and intramuscular injections. A highly effective technique to use during intravenous catheter insertion is the use of a refrigerant spray, ethyl chloride, to cause a transient local hypoesthesia of the skin at the venipuncture site. This technique is not associated with any significant contraindications or adverse reactions, and it should be considered for both pediatric and adult patients in the oral and maxillofacial surgery practice.",
author = "Thomas Schlieve and Michael Miloro",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.omsc.2015.05.004",
language = "English (US)",
volume = "1",
pages = "29--32",
journal = "Oral and Maxillofacial Surgery Cases",
issn = "2214-5419",
publisher = "Elsevier BV",
number = "2",

}

TY - JOUR

T1 - Topical refrigerant spray for pediatric venipuncture for outpatient surgery

AU - Schlieve, Thomas

AU - Miloro, Michael

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Anxiety in the pediatric patient population is a problem for outpatient anesthesia because of poor patient compliance during the initiation of the anesthetic technique. A variety of techniques have been used in the outpatient surgery and emergency department settings to improve cooperation in the pediatric age group or those with developmental and cognitive delay. These adjunctive techniques include the growing popularity of the use of eutectic mixtures of local anesthetic cream, nitrous oxide, oral premedication, and intramuscular injections. A highly effective technique to use during intravenous catheter insertion is the use of a refrigerant spray, ethyl chloride, to cause a transient local hypoesthesia of the skin at the venipuncture site. This technique is not associated with any significant contraindications or adverse reactions, and it should be considered for both pediatric and adult patients in the oral and maxillofacial surgery practice.

AB - Anxiety in the pediatric patient population is a problem for outpatient anesthesia because of poor patient compliance during the initiation of the anesthetic technique. A variety of techniques have been used in the outpatient surgery and emergency department settings to improve cooperation in the pediatric age group or those with developmental and cognitive delay. These adjunctive techniques include the growing popularity of the use of eutectic mixtures of local anesthetic cream, nitrous oxide, oral premedication, and intramuscular injections. A highly effective technique to use during intravenous catheter insertion is the use of a refrigerant spray, ethyl chloride, to cause a transient local hypoesthesia of the skin at the venipuncture site. This technique is not associated with any significant contraindications or adverse reactions, and it should be considered for both pediatric and adult patients in the oral and maxillofacial surgery practice.

UR - http://www.scopus.com/inward/record.url?scp=84938209773&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938209773&partnerID=8YFLogxK

U2 - 10.1016/j.omsc.2015.05.004

DO - 10.1016/j.omsc.2015.05.004

M3 - Article

AN - SCOPUS:84938209773

VL - 1

SP - 29

EP - 32

JO - Oral and Maxillofacial Surgery Cases

JF - Oral and Maxillofacial Surgery Cases

SN - 2214-5419

IS - 2

ER -