Children with lacerations that require suturing are typically afraid and uncooperative. The pain of a local lidocaine(Drug information on lidocaine) injection will increase their fear and lack of cooperation. For nonfacial lacerations, I find that spraying the area with ethyl chloride(Drug information on ethyl chloride) just before injecting the lidocaine reduces the pain and thus eases fears. Suturing is then much easier.
|Ken Jin, MD, JD|