tips and tricks

Spray Away Pain and Fear When Suturing in Kids

Children with lacerations that require suturing are typically afraid and uncooperative. The pain of a local lidocaine injection will increase their fear and lack of cooperation. For nonfacial lacerations, I find that spraying the area with ethyl chloride just before injecting the lidocaine reduces the pain and thus eases fears. Suturing is then much easier.

——  Ken Jin, MD, JD
Hamburg, NY