EMLA Cream and Intraperitoneal Lidocaine Decrease
Intraoperative Pain During Postpartum Thbal Sterili
zation
SHU SEE VISAL Y APUTRA, M.D.*, NUCHSAROCH PETHPAISIT, M.D.*,
PREMRUDEE ARIYANON, M.D.**, SUDTA PARAKKAMODOM, B.N.*,
LUDDA PERMPOLPRASERT, B.Sc.*, PARICHAD APIDECHAKUL, B.Sc.*,
UMAPORN LATTHIKAV IBOON, B.Ed.* *, ATICHA LIMSAKUL, M.D.*,
TAW EESAK SANTIVA RANGKANA, M.D.*, PREYA PA SIRILERTMAKASAKUL, B.N. **
Affiliation : * Department of Anesthesiology,
** Department of Obstetric and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700,
Thailand.
AbstractWe conducted a randomized, double blinded, placebo controlled trial to evaluate the effec
tiveness of EMLA cream together with intraperitoneal lidocaine for pain relief in postpartum tubal
ligation. In a factorial designed study, 90 postpartum patients were randomly assigned to have 5 g of
EMLA or placebo cream applied to the skin in 2 groups of 45 patients and to have intraperitoneal
instillation of 20 ml of either 1 per cent, 2 per cent lidocaine or normal saline in 3 groups of 30
patients. A numerical rating pain score (0-1 0) was used during skin check, skin infiltration and uterine
tube manipulation. The pain scores were significantly lower in the EMLA group as compared with the
placebo group during the skin forceps check (p
Keywords : EMLA Crem, Intraperitoneal Lidocaine, Tubal Sterilization, Local Anesthesia
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