Document Detail


Oral sucrose for pain relief in young infants with hemangiomas treated with intralesional steroids.
MedLine Citation:
PMID:  20537065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intralesional corticosteroids are one preferred method for treating small localized infantile hemangiomas because of efficacy in halting proliferation and minimal systemic side effects. Although often efficacious, this procedure is uncomfortable for infants. We describe the successful use of an oral 24% sucrose solution given via needleless syringe to the anterior tip of the tongue or in combination with a pacifier as an analgesic during intralesional injection of infantile hemangioma. Options for anesthesia in this young age group include topical prilocaine/lidocaine, injectable lidocaine, and parent soothing. Most often, topical or intralesional anesthesia is deferred when treating hemangiomas of infancy with intralesional corticosteroids. We use oral sucrose as a compassionate option.
Authors:
Jennifer Sorrell; Carrie Carmichael; Sarah Chamlin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric dermatology     Volume:  27     ISSN:  1525-1470     ISO Abbreviation:  Pediatr Dermatol     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-06-11     Completed Date:  2010-09-27     Revised Date:  2011-01-11    
Medline Journal Info:
Nlm Unique ID:  8406799     Medline TA:  Pediatr Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  154-5     Citation Subset:  IM    
Affiliation:
Division of Dermatology, Children's Memorial Hospital, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / administration & dosage,  therapeutic use*
Analgesics / administration & dosage*
Anesthesia / methods*
Hemangioma / drug therapy*
Humans
Infant
Infant, Newborn
Injections, Intralesional
Pacifiers
Pain / drug therapy*
Sucrose / administration & dosage*
Triamcinolone / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Analgesics; 124-94-7/Triamcinolone; 57-50-1/Sucrose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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