Vaidehi Agrawal1, Kirby Wilson, Roxana Reyna, Mohammad Ali Emran. 1. Vaidehi Agrawal, PhD, Department of Surgery, Driscoll Children's Hospital, Corpus Christi, Texas Kirby Wilson, MSN, RNC-NIC, Nursing Resources, Driscoll Children's Hospital, Corpus Christi, Texas. Roxana Reyna, BSN, RNC-NIC, WCC, CWOCN, Nursing Resources, Driscoll Children's Hospital, Corpus Christi, Texas. Mohammad Ali Emran, MD, Department of Surgery, Driscoll Children's Hospital, Corpus Christi, Texas.
Abstract
BACKGROUND: Opioid analgesics such as morphine are frequently used for pain management in pediatric patients undergoing dressing changes for negative pressure wound therapy (NPWT). While these medications reduce associated pain, they are also associated with adverse side effects ranging from constipation, headache, and dizziness to respiratory depression, chest wall rigidity, and death. Alternative analgesic approaches are needed for pediatric patients undergoing NPWT. METHODS: Four percent topical lidocaine was used for pain management during dressing changes for NPWT in a 15-year-old Hispanic male with necrotizing adenopathy. CONCLUSION: The 4% topical lidocaine reduced the pain associated with dressing changes during NPWT. No adverse side effects were observed.
BACKGROUND: Opioid analgesics such as morphine are frequently used for pain management in pediatric patients undergoing dressing changes for negative pressure wound therapy (NPWT). While these medications reduce associated pain, they are also associated with adverse side effects ranging from constipation, headache, and dizziness to respiratory depression, chest wall rigidity, and death. Alternative analgesic approaches are needed for pediatric patients undergoing NPWT. METHODS: Four percent topical lidocaine was used for pain management during dressing changes for NPWT in a 15-year-old Hispanic male with necrotizing adenopathy. CONCLUSION: The 4% topical lidocaine reduced the pain associated with dressing changes during NPWT. No adverse side effects were observed.