Spots Global Cancer Trial Database for Local Anesthetic Cream in Younger Patients Undergoing Lumbar Punctures

Study Description

Brief Summary: This randomized clinical trial studies local anesthetic (EMLA) cream in younger patients undergoing lumbar punctures (LP). A local anesthetic cream may be effective for numbing the skin and reducing movement when applied prior to lumbar punctures and may reduce the amount of sedation necessary

Detailed Description: PRIMARY OBJECTIVES: I. To determine whether the application of a topical anesthetic (EMLA cream) to the LP site will decrease the total dose of propofol administered to pediatric oncology patients who are being sedated for LPs compared to application of a topical placebo cream. SECONDARY OBJECTIVES: I. To determine whether the use of EMLA cream decreases complication rates from sedation. II. To determine whether the use of EMLA cream decreases traumatic lumbar punctures. III. To determine whether the use of EMLA cream shortens recovery time. IV. To determine practitioner and parent satisfaction with the use of EMLA cream. OUTLINE: Patients are randomized to 1 of 2 treatment arms. ARM I: Patients receive topical EMLA cream 60 minutes to 4 hours prior to the LP followed by standard sedation with fentanyl citrate and propofol. ARM II: Patients receive topical placebo cream 60 minutes to 4 hours prior to the LP followed by standard sedation with fentanyl citrate and propofol. After completion of study treatment, patients are followed up within 1 week.

Keywords

Eligibility

Minimum Age:

Eligible Ages: CHILD, ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Contact Details

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