Abstract
Facial lacerations from minor trauma are a common presenting complaint to the emergency department. With the increasing availability of topical anesthetics, there is a decrease in the need for injectable local anesthetic and sedation services, facilitating the ease of facial laceration repairs for young children. One such topical anesthetic is a widely used pharmacy preparation of lidocaine 4%-epinephrine 0.1%-tetracaine 0.5% gel (LET). Although the use of LET has decreased the need for injectable lidocaine and sedation for facial lacerations, both of which can be unpleasant for children with potentially life-threatening adverse events, it may still lead to unexpected and untoward adverse events. We explore here a little-known adverse effect of LET in a child who presented to a pediatric emergency department with an eyelid laceration after minor head trauma.
Original language | English (US) |
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Pages (from-to) | 648-649 |
Number of pages | 2 |
Journal | Pediatric emergency care |
Volume | 29 |
Issue number | 5 |
DOIs | |
State | Published - May 2013 |
Keywords
- LET
- Lidocaine-epinephrine-tetracaine
- Nequal pupils
- Pharmacologic mydriasis
- Unilaterally dilated pupil
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Emergency Medicine