Cochrane · systematic review · CD005364

Topical anaesthetics for pain control during repair of dermal laceration

Tayeb, BO, Eidelman, A, Eidelman, CL, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Anaesthesia2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 0 · 0%Low 6 · 85.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Primary outcome: topical local anaesthetics compared with infiltrated local anaesthetics or other topical agents for repair of dermal lacerations

Population: adults and paediatric patients with dermal laceration
6 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity measures Cocaine‐containing topical anaesthetics vs infiltrated local anaesthetics
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
no estimate extracted6 studies · 1006 participantsLow
Downgraded: risk of bias
Pain intensity measures Comparisons between different cocaine‐containing topical anaesthetics
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
no estimate extracted4 studies · 530 participantsLow
Downgraded: risk of bias
Pain intensity measures Cocaine‐free topical anaesthetics compared with infiltrated local anaesthetics
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
no estimate extracted6 studies · 543 participantsLow
Downgraded: risk of bias
Pain intensity measures Cocaine‐fee topical anaesthetics compared with cocaine‐containing topical anaesthetics
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
no estimate extracted11 studies · 1231 participantsLow
Downgraded: risk of bias
Pain intensity measures Comparisons between different cocaine‐free topical anaesthetics
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
no estimate extracted5 studies · 656 participantsLow
Downgraded: risk of bias
Anaesthetic‐related adverse effects
Primary outcome: topical local anaesthetics vs infiltrated local anaesthetics or other topical agents
RR 0 [0, 0]11 studies · 1686 participantsUngraded

Primary outcome subanalysis: pain intensity measures of topical prilocaine‐phenylephrine (PP) and topical tetracaine‐epinephrine‐cocaine (TAC)

Population: treatment repair of dermal laceration
1 question
OutcomeEffectEvidenceStatus / GRADE
Participant self‐reported VAS (0‐100 mm) pain scores
no estimate extracted2 studies · 240 participantsLow
Downgraded: risk of bias