RT Journal Article SR Electronic T1 Topical anaesthetics: What's new? JF Archives of disease in childhood - Education & practice edition JO Arch Dis Child Educ Pract Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 105 OP 110 DO 10.1136/archdischild-2013-305221 VO 100 IS 2 A1 Kelly D Young YR 2015 UL http://ep.bmj.com/content/100/2/105.abstract AB Topical anaesthetics, often used by anaesthetists, dentists and dermatologists, have increasingly been recognised for their utility in paediatrics. With topical anaesthetics, the ‘ouchless’ paediatric practice becomes an achievable goal. The primary drawback to their use is the length of time for anaesthetic effect, but planning ahead and making use of newer formulations and adjuncts can overcome this barrier. This update will review topical anaesthetic formulations available, adjuncts to reduce the time to anaesthesia, adverse effects, common indications and products on the horizon.