Shachor-Meyouhas Yael, Galbraith Roger, Shavit Itai
Pediatric Department A, Meyer Children's Hospital, Rambam Medical Center, Haifa, Israel.
J Emerg Med. 2008 Jul;35(1):39-41. doi: 10.1016/j.jemermed.2007.07.071. Epub 2008 Feb 20.
To reduce the overall time spent in the ED, triage nurses are encouraged to treat patients with a topical anesthetic cream, eutectic mixture of local anesthetics (EMLA). We present a case in which a 28-day-old neonate who was treated with EMLA cream in triage developed severe methemoglobinemia 18 hours post admission to the pediatric ward. This case demonstrates that there may be some risks associated with this approach, and that protocols for the use of EMLA at triage should include not only the indications for its use, but also need to ensure that there is a process to have the EMLA removed before patient discharge or transfer.
为减少在急诊科的总体停留时间，鼓励分诊护士使用局部麻醉乳膏——复方利多卡因乳膏（EMLA）来治疗患者。我们报告一例病例，一名28日龄新生儿在分诊时使用了EMLA乳膏，在入住儿科病房18小时后发生了严重的高铁血红蛋白血症。该病例表明，这种方法可能存在一些风险，并且分诊时使用EMLA的方案不仅应包括其使用指征，还需要确保在患者出院或转院之前有去除EMLA的流程。
