After irrigating a wound, use a drop of mepivacaine (Carbocaine) to reduce minor pain during suturing. This is especially helpful with small children. — Angelina Ledonne, APRN-BC, Chicago (173-7)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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