Topical Anesthesia Use in Children

Kimberly A. Pesaturo, PharmD, BCPS; Michele Matthews, PharmD


US Pharmacist. 2009;34(3):HS-4- HS-7. 

In This Article


Vapocoolants have long been used to control minor pain associated with topical procedures. Ethyl chloride (Gebauer's Pain Ease) is indicated for pain control of injections and minor topical procedures and for temporary relief of minor sports injuries.[11] Studies of ethyl chloride as a topical anesthetic have been small, however, and data on efficacy are variable.[12,13] Overall, its use has decreased given the wide variety of products now available, and some children may not like its cooling effect. For delivery of preinjection anesthesia, Gebauer's Pain Ease should be sprayed continuously for four to 10 seconds, approximately three to seven inches from the skin.[11] Needle insertion should occur immediately after application of the product.


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