When I had researched L-M-X4 (Topical Lidocaine Cream) this is in brief the differences that I found between L-M-X4 and EMLA Cream:
L-M-X4 is a 4% lidocaine cream provided with transparent dressing to cover (Note: Has no prilocaine which EMLA Cream has, hence no methemoglobinema reaction - sepaecially important for those infants and neonates) L-M-X4 takes only 15-30 minutes to be effective (EMLA cream tkes 60 minutes). L-M-X4 is an over-the-counter medication - safe and non-invasive. Pat Deisch MSN, RN BryanLGH Medical Center ----- Original Message ----- From: "Gwen Irwin" <[EMAIL PROTECTED]> Date: Wednesday, May 10, 2006 6:31 pm Subject: Re: LMX4 (elamax - like emla) > We use LMX4 (latest name for Elamax) all the time on pediatric > patients and do MST with the scalpel for the nick. For PICC > insertions, we also leave it on as long as 1 1/2 - 2 hours. (For > PIVs, less time.) With the large barrier drape in place, the > children do not react at all to the stick or the scalpel. We have > had babies sleep through their PICC insertions. We have had > children verbalize nervousness about feeling anything, after we > are completely done and waiting for x-ray. So, it works well. > On the adult side of our PICC insertions, we don't have time to > wait for the LMX4 to work, so we use intradermal bacteriostatic > NS. In rare cases, we will then also use intradermal lidocaine > (very high anxiety patient that has had a lot of pain with IV > attempts-just a gut feeling about which patients to use lidocaine > also). The patients are very happy about their pain free PICC > insertion.Gwen Irwin > > ----- Original Message ----- > From: Susan Fullana > To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] > Sent: Wednesday, May 10, 2006 5:30 PM > Subject: elamax (like emla) > > > We use elamax on adults and in the past a few pedi patients. I > have used it for introducer placement and mst. If you leave it on > for a long period (I like 1-1 1/2 hours myself) I find it works > great. However, when I place with mst, I DO NOT use the scalpel. I > use the microintroducer-I take it apart and use the inside first--- > in and out a few times then, I put it back together and place the > entire introducer in. Pts seem to tolerate this well. Would not > even think of trying to use a scalpel with just elamax. Currently > only myself and one other nurse (she has just started mst) are > using mst to place PICCs. We are trying to get an ultrasound > machine and a new position for u/s PICC placement. I worked per > diem in another hospital where PICCs were only placed using MST > and ultrasound and we always used lidocaine only---never elamax. > Hope this helps. > > > Susan J. Fullana
begin:vcard n:Deisch;Pat fn:Pat Deisch tel;pager:71-2582 tel;work:(402) 481-3617 org:BryanLGH Medical Center; adr:;;1600 South 48th St;Lincoln;NE;68506; version:2.1 email;internet:[EMAIL PROTECTED] title:Clinial Nurse Specialist end:vcard
