> Currently, we have a protocol for using Numby Stuff. The protocol only involves kids greater than 5 years. The experience has been that, indeed, the current used to deliver the analgesic feels "strange" and tingly. I think that in a situation where the child is anticipating a painful stimulus (like an IV or blood draw) this discomfort is perceived as pain. By the way, it also takes quite a while to complete the analgesia, during which the child has to be reasonably still. One nurse who tried it on herself said that it actually did sort of hurt. We don't have a lot of numbers (that's #'s) at this point.
In the ED, I generally encourage the use of EMLA for situations not requiring emergent access. I tell the parents to sit in the waiting room and watch TV and let the child play for 45 min or so. I see patients that are waiting.
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