BACKGROUND We describe the use of tumescent anesthesia before laser hair removal in the axilla to improve patient comfort during treatment. Our modified tumescent technique provides more extensive anesthesia than standard intradermal injections of local anesthetic agents and is less painful to administer. Compared with topical anesthetic creams, tumescent anesthesia has a quicker onset and deli...

Background: To study the safety and efficacy provided by a minimal localized anesthesia in cataract surgery. Methods: Randomized controlled trial. A total of 100 patients undergoing surgery were randomly divided into two groups 50, which respecitvely received conventional topical consisting preservative-free Oxibuprocaine hydrochloride 0.4% drops or anesthesia, administered with cotton bud soak...

BACKGROUND The S-Caine peel (Zars, Inc., Salt Lake City, UT) is a novel eutectic lidocaine/tetracaine mixture that is applied as a cream, drying upon exposure to air to form a flexible film that can be peeled off easily. The patented formulation can be used to anesthetize the skin prior to a variety of cutaneous procedures. OBJECTIVE To examine the clinical efficacy of the S-Caine peel as a t...

Topical anesthetic allergy is a rare but recognized entity forwhich incidence is difficult to calculate owing to the difference between a perceivedand trueallergic response.Allergic episodesattributed to topical anesthetics are typically adverse reactions, such as a vasovagal event, rather than thedevelopmentofhypersensitivity.1However, several articles place the likely incidence of topical ane...

PURPOSE To examine possible differences in the clinical outcomes of topical anesthesia (TA) and regional anesthesia including retrobulbar anesthesia (RBA) and peribulbar anesthesia (PBA) in phacoemulsification. DESIGN Systematic review and meta-analysis. PARTICIPANTS Patients from previously published randomized controlled trials (RCTs) of phacoemulsification under TA and RBA/PBA reporting ...

The H-reflex recovery curve of the soleus muscle was studied in 53 normal subjects before and after the application of topical anesthesia (20% benzocaine) to various skin areas and dermatomes of the lower limb. Skin areas were those overlying the calf, tibialis anterior, quadriceps and hamstrings muscles, and the dermatomes were L2, L3, L4, L5, S1, S2. In 42 subjects the H-reflex initial recove...

We examined whether topical upper airway anesthesia leads to a reduction in genioglossal (GG) electromyogram (EMG) in patients with obstructive sleep apnea (OSA). Airway mechanics were also evaluated. In 13 patients with OSA, we monitored GG EMG during tidal breathing and during the application of pulses of negative airway pressure (-10 to -12 cmH(2)O). Airflow resistance and airway collapsibil...

Three patients were admitted to our clinic with symptoms of conjunctivitis. On ocular examination, moving larvae were seen in the conjunctival sac. All of the larvae were immobilized by topical cyclopentolate and removed mechanically under topical anesthesia. The patients healed without any complications after the treatment. Physicians should consider ophthalmomyiasis externa in patients presen...