Analgesic Efficacy and Patient Acceptability of Topical Eutectic Mixture of Local Anesthetics versus Local Lignocaine Infiltration for Obstetric Spinal Anesthesia: A Randomized Controlled Trial

Roniya Ann Roy; Sunil Rajan; Karthik C. Babu; Sahla Shamsudheen; Kajol Nilesh Amin; Mahesh Madhu; Srinidhi Sivakumar

doi:10.4103/aam.aam_202_26

April 8, 2026Annals of African Medicine

Analgesic Efficacy and Patient Acceptability of Topical Eutectic Mixture of Local Anesthetics versus Local Lignocaine Infiltration for Obstetric Spinal Anesthesia: A Randomized Controlled Trial

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Key Points

To compare the analgesic efficacy and patient acceptability of topical EMLA cream versus lignocaine infiltration for spinal anesthesia in obstetric patients.
Randomized controlled trial design
Evaluation of pain reduction and comfort during spinal needle insertion
Comparison of EMLA cream efficacy against lignocaine infiltration in parturients
EMLA cream significantly reduced pain during spinal needle insertion
Improved patient comfort reported with EMLA compared to lignocaine infiltration
EMLA offers a needle-free option that enhances the spinal anesthesia experience

Implication

Randomized controlled trial compares analgesic efficacy of EMLA cream to lignocaine infiltration, indicating patient-friendly benefits.

Abstract

EMLA cream significantly reduced pain, improved comfort, and facilitated easier spinal needle insertion compared with lignocaine infiltration. It offers a simple, needlefree, patientfriendly alternative for enhancing the SAB experience in parturients.

Discussion

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Cite This Study

Roy et al. (2026) studied this question.

synapsesocial.com/papers/69d896566c1944d70ce07b25 https://doi.org/10.4103/aam.aam_202_26

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Analgesic Efficacy and Patient Acceptability of Topical Eutectic Mixture of Local Anesthetics versus Local Lignocaine Infiltration for Obstetric Spinal Anesthesia: A Randomized Controlled Trial

Key Points

Implication

Abstract

Discussion

Cite This Study

Analgesic Efficacy and Patient Acceptability of Topical Eutectic Mixture of Local Anesthetics versus Local Lignocaine Infiltration for Obstetric Spinal Anesthesia: A Randomized Controlled Trial

Key Points

Implication

Abstract

Discussion

Cite This Study

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