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EMLA. A new and effective topical anesthetic
1University of Alberta, Edmonton, Canada.
The Journal of Dermatologic Surgery and Oncology
|October 1, 1992
Summary
A eutectic mixture of local anesthetics (EMLA) provides effective and safe skin analgesia for various procedures. Proper application, including an occlusive dressing for at least one hour, ensures optimal pain relief.
Area of Science:
- Dermatology
- Anesthesiology
- Pharmacology
Background:
- A eutectic mixture of local anesthetics (EMLA) is an emulsion of 2.5% lidocaine and 2.5% prilocaine.
- It offers effective and safe analgesia for both normal and diseased skin.
- EMLA has been approved in Canada since 1991 and available in Europe for many years.
Purpose of the Study:
- To discuss the background, efficacy, and current uses of EMLA.
- To explore potential future applications of EMLA.
- To provide a comprehensive overview of EMLA's role in pain management.
Main Methods:
- Literature review of EMLA's properties and applications.
- Analysis of clinical data regarding EMLA's efficacy and safety.
- Discussion of optimal application techniques for EMLA.
Main Results:
- EMLA is effective for superficial surgery, skin grafts, venipuncture, laser treatments, and debridement.
- It is also indicated for postherpetic neuralgia, hyperhidrosis, painful ulcers, and pruritus.
- Optimal efficacy requires application for at least 1 hour under an occlusive dressing.
Conclusions:
- EMLA is a versatile anesthetic with a proven safety profile.
- Its applications extend beyond superficial procedures to various dermatological and pain conditions.
- Further research may uncover additional therapeutic uses for EMLA.