Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1002
Title: The effectiveness of EMLA as a primary dressing on painful chronic leg ulcers: A pilot randomized controlled trial
Authors: Purcell, Anne ;King, Jennie ;Buckley, T.;Moyle, W.;Marshall, A.P.;Fethney, J.
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: Aug-2017
Source: 30(8):354-363
Journal title: Advances in Skin & Wound Care
Department: Wound Care
Abstract: OBJECTIVE: To evaluate the effectiveness of the eutectic mixture of local anesthetics (EMLA; Aspen Pharmacare, St. Leonards, New South Wales, Australia) as a primary dressing on painful chronic leg ulcers. DESIGN: A pilot randomized controlled trial. SETTING: The study was conducted across 6 community nursing procedure clinics located in a community nursing service in New South Wales, Australia. PARTICIPANTS: Sixty participants with painful chronic leg ulcers of varied etiology were recruited into the study. INTERVENTION: Participants were randomly assigned to an intervention (daily EMLA use for 4 weeks as a primary dressing) or a standard wound care group. MAIN OUTCOME MEASURE: The effectiveness of EMLA on wound-related pain intensity before, during, and after dressing change. MAIN RESULTS: Mean pain scores were similar between the 2 groups at baseline (P = .84). During dressing change, mean pain scores across the 4-week intervention period were significantly lower in the intervention compared with the control group (intervention group: mean, 3.39 [SD, 2.16]; control group: mean, 4.82 [SD, 2.27]; P = .02). Mean pain scores after dressing change were also significantly lower for the intervention group over the 4-week intervention period (intervention group: mean, 2.71 [SD, 1.94]; control group: mean, 3.92 [SD, 2.03]; P = .03). CONCLUSIONS: Data from this pilot study suggest that EMLA as a primary dressing may be effective in reducing chronic leg ulcer pain during and after dressing change and warrant further evaluation.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1002
DOI: 10.1097/01.ASW.0000516197.13492.1a
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28727591
ISSN: 1527-7941
Publicaton type: Journal Article
Keywords: Wound Care
Community Health Nursing
EMLA
Study or Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Nursing

Show full item record

Page view(s)

106
checked on Nov 25, 2024

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.