American Academy of Pediatrics Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine

Summary of recommendations relating to needlestick procedures24

  • Triage should be used to predict the possibility for future need for intravenous access
       - Develop topical anesthetic needs-prediction models and protocol
  • Painless administration of analgesics and anesthetics should be practiced when possible
  • Topical anesthetics can be placed proactively to control pain associated with minor procedures
  • Lidocaine infiltration can be used alone in urgent situations or as an adjunct to topical anesthetics

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