2. What is a vapocoolant?What is a vapocoolant?
non-pharmaceutical topicalnon-pharmaceutical topical
anestheticanesthetic
extremely effective at anesthetizingextremely effective at anesthetizing
target areas to give very rapid, lowtarget areas to give very rapid, low
cost, pain management for a largecost, pain management for a large
variety of proceduresvariety of procedures
intended for topical application tointended for topical application to
skin, intact mucous membranes (oralskin, intact mucous membranes (oral
cavity, nasal passageways and thecavity, nasal passageways and the
lips)lips)
3. How does a vapocoolant work?How does a vapocoolant work?
Vapocoolants are liquefied gases. WhenVapocoolants are liquefied gases. When
vapocoolants are compressed orvapocoolants are compressed or
contained, such as in a can, they are in acontained, such as in a can, they are in a
liquid form however when sprayed into aliquid form however when sprayed into a
warm atmosphere or onto warm skin awarm atmosphere or onto warm skin a
phase change occurs to the vapor state.phase change occurs to the vapor state.
When contacting the skin, this phaseWhen contacting the skin, this phase
change causes an endothermic or coolingchange causes an endothermic or cooling
reaction to occur which refrigerates thereaction to occur which refrigerates the
point of evaporation from the skin.point of evaporation from the skin.
4. Historical - VapocoolantsHistorical - Vapocoolants
Gebauer’s Ethyl ChlorideGebauer’s Ethyl Chloride®® has beenhas been
made and sold by Gebauer Companymade and sold by Gebauer Company
for over 100 years.for over 100 years.
New generation HFC based, non-New generation HFC based, non-
ozone depleting, non-flammableozone depleting, non-flammable
compounds have been recently FDA-compounds have been recently FDA-
approved for pre-injection anesthesiaapproved for pre-injection anesthesia
5. Benefits of vapocoolantsBenefits of vapocoolants
Ease of application (aerosol spray)Ease of application (aerosol spray)
Immediate results (anesthetic effectImmediate results (anesthetic effect
within seconds)within seconds)
Reduced patient anxietyReduced patient anxiety
Increased patient throughputIncreased patient throughput
Cost pennies per applicationCost pennies per application
510(k) cleared product – FDA510(k) cleared product – FDA
approvedapproved
6. Vapocoolants- what are the risks?Vapocoolants- what are the risks?
Over-application may alter skinOver-application may alter skin
pigmentation?pigmentation?
Overspray in peri-orbital regionOverspray in peri-orbital region
Cost?Cost?
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7. Current vapocoolant studyCurrent vapocoolant study
Efficacy and Safety Study OfEfficacy and Safety Study Of
Vapocoolant Spray As AnVapocoolant Spray As An
Anesthetic Prior ToAnesthetic Prior To
Transcutaneous Botulinum ToxinTranscutaneous Botulinum Toxin
(Botox(Botox®®) Injections) Injections
9. ResultsResults
Preliminary results show a very highPreliminary results show a very high
degree of patient acceptancedegree of patient acceptance
Very often no pain at allVery often no pain at all
No hyperpigmentationNo hyperpigmentation
Works extremely well for treatmentWorks extremely well for treatment
of axillary hyperhidrosisof axillary hyperhidrosis
10. ResultsResults
Preliminary results show a very highPreliminary results show a very high
degree of patient acceptancedegree of patient acceptance
Very often no pain at allVery often no pain at all
No hyperpigmentationNo hyperpigmentation
Works extremely well for treatmentWorks extremely well for treatment
of axillary hyperhidrosisof axillary hyperhidrosis