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Emla Cream, has anyone used it before a spinal/epi?
21 replies to this topic
Posted 23 October 2007 - 04:20 PM
Just wondering if anyone has used Emla cream on there lower back before a spinal or epi, for a planned C/S? as i REALLY need numbness for my spinal in Dec, and just wondering if you think i would be allowed to do it?
Anyone used it and has it numbed the area so you didn't feel the spinal?
Posted 23 October 2007 - 04:32 PM
'm not too sure- but I'd imagine it wouldn't do a whole lot. It only numbs the superficial layer where as a spinal/epidural goes a whole lot deeper. The anaethatist inject local anaesthetic before using the bigger needle. I guess the emla might help with a bit of the local injection- but not much as it (the local) would also go deeper than the emla would numb. You'd also have to know just where they planned on putting it as I think there are a couple of vertebrae they can go between- you'd need a large area of emla to cover it all.
Maybe try some focussing/meditation type techniques to do while they put the epidural in.
BTW- just saw you're having a spinal, that is a VERY fine needle and really shouldn't hurt too much- good luck.
Posted 23 October 2007 - 04:36 PM
They can probably give you a local if you are worried about the pain, but to be honest, it isn't at all painful. It's uncomfortable in that you need to lean forward, but certainly no pain.
Posted 23 October 2007 - 04:40 PM
Thanks for the replies. I have had an Epi before during my first C/S but that was during labour and had an emergency one.
2nd was a GA as i was TOO scared and was all shaky to have the spinal
Its like local that hurts and stings, not the actual spinal i am worried about as the local numbs it, but it just freaks me out abit
Posted 23 October 2007 - 05:03 PM
With my first spinal I never felt it as the labor pains were worse. My last one (12 weeks ago), hurt less than the IV drip in my hand.
Posted 23 October 2007 - 05:06 PM
The local is the worst bit, isn't it! But without it, the rest of the procedure would probably by impossible, as you'd be moving from the pain!
I am not sure if the anaesthetist would even like you using Emla on there, so ask them first... they do a lot of prep on that area beforehand to make it a sterile procedure, but surely that wouldn't remove the superficial effect the Emla has had??? Best bet, talk to your anaesthetist before if you can, or ask the midwives to find out for you...
Good luck... I would much, much prefer a Spinal (with morphine in it, thank you!) than post-op pain after a General..
Posted 23 October 2007 - 05:15 PM
It's a scary process, isnt' it? Needles and backs just seem so wrong!
I had local cream put on my hand for the drip when I had my hernia op last year. There would be no reason they couldn't put that on your back.
I was fine when they put the spinal in, then I got the shakes, I shook for about 5 hours. It was really quite strange actually.
Posted 24 October 2007 - 08:51 AM
Hi there! I'm not saying you COULDN'T use it, but it would have to be the anaesthetist putting it on at least 30mins before your caesar (because they are the one doing the procedure, and they will be picking the precise spot for the spinal / epidural).
If you have enough time before your birth, have you thought about having a bit of counseling- maybe some hypnosis? about your needle phobia? It seems such a shame to have to have a general simply because of your fears.
All the best.
Posted 24 October 2007 - 01:02 PM
Thanks for all your replies. i am thinking using it might be silly.
I will be talking to the anaesthetist before the actual day.
Just nervous i guess
Posted 27 October 2007 - 10:26 PM
Yes, I had it put on by the anaesthetist about 1.5 hours prior to the caesar. Didn't even ask for it, had it on my hand for the IV as well, which worked perfectly. Still felt the sting of the local in my back as it only does work quite superficially. You need it on for at least 1 hour, and up to 2 hours for maximum effect. Worth asking for if you want it.
Posted 29 October 2007 - 04:41 PM
Yes, I used it, asked my anaesthetist if I could and he told me how to work out where it would go. Still felt a little bit but it made a huge change in my mental state, juat having it on there. Put it on my hand too. i would recommend it
Posted 29 October 2007 - 04:43 PM
I had a local before my spinal, I just thought everyone got one.
Posted 29 October 2007 - 06:25 PM
RyHalandKade - everyone gets a local - the op wants this for the local.
I say the worst they can say is no. I would ask sooner rather than later to put your fears at rest. I doubt that they are going to say no if you explain why.
Posted 29 October 2007 - 06:39 PM
Thanks again I am only seeing my GP atm for pregnancy care till my 34 weeks hospital appointment, when i booked into the hospital at 12 weeks i told them of my fear and how with my last Birth i HAD to have a GA, i don't want another GA, and i WILL have the spinal, will chat to the anaesthetist weeks beforehand
Posted 29 October 2007 - 06:44 PM
Oh sorry I should read properly, I didn't even feel my local because I was too nervous
Posted 31 October 2007 - 08:46 AM
My anaesthetist applied the Emla patches on both my hand & in my lower back an hour prior to my C-Section but to tell you the truth I don't think they made a difference at all.
Posted 18 February 2013 - 10:25 AM
I got an epi when I had a spot on my back that they had to surgically remove. emla cream is worth it, ull feel the needle, but no poke, so no u don't really feel anything. when I have my baby im getting an epi straight away using emla, its really god sent.
Posted 18 February 2013 - 01:13 PM
I had Elma recently for a cannula going in..... Not really impressed with it TBH.
Posted 18 February 2013 - 01:19 PM
I'm answering as an anaesthetist and as a person who has had an epidural.
Personally I wouldnt be happy with EMLA for a spinal - I would have concerns about adequate skin prep and sterility and also it going in the right place. Also EMLA will only numb the skin and not deeper tissues so a local injection would still be needed.
For a spinal - the size of the spinal needle is so small it is smaller than the local needle.
I suggest if its an elective CS to talk to your anesthetist a few days prior rather than getting any more scared and apprehensive,we are very nice approachable people but appreciate prior warning if a pt has particular concerns.
Posted 18 February 2013 - 04:10 PM
Wow This is my old old thread lol. Unfortunately for that Birth i had a GA as My daughter was Stillborn But i did have a Miracle a yr later and i was brave and i didn't even bother using emla. The only time i have used emla is when i got my big butterfly Tattoo for all of my 4 Children It works well for that
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