Topical lidocaine patch 5% for acute postoperative pain control.

Hdl Handle:
http://hdl.handle.net/10147/270474
Title:
Topical lidocaine patch 5% for acute postoperative pain control.
Authors:
Gilhooly, D; McGarvey, B; O'Mahony, H; O'Connor, T C
Affiliation:
Anaesthesia and Pain Management, Sligo General Hospital, Sligo, Ireland. d.gilhooly@excite.com
Citation:
Topical lidocaine patch 5% for acute postoperative pain control. 2011, 2011: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/270474
DOI:
10.1136/bcr.06.2010.3074
PubMed ID:
22715181
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062814/pdf/bcr.06.2010.3074.pdf
Abstract:
A 39-year-old para 3 woman presented for elective caesarean section (lower segment caesarean section (LSCS)) for breech presentation. The patient had a strong history of atopy and anaphylaxis to paracetamol, codeine, penicillin and latex. The patient was asthmatic, triggered by aspirin. Epidural anaesthesia was unsuccessful and LSCS was carried out under spinal anaesthesia. Postoperatively the patient was unwilling to take analgesic medication due to fear of an allergic reaction. Three 5% lidocaine patches were applied to the wound for postoperative analgesia. This reduced the patient's visual analogue scale pain score from 10/10 to 5/10 at rest and 10/10 to 7/10 with movement. Transcutaneous electrical nerve stimulation was added and this improved associated back pain, reducing the pain further to 2/10. This is the first description of lignocaine patch 5% for postoperative LSCS pain. It is suggested that this method of delivery of local anaesthetic, which is easy to apply and has minimal side effects, should be considered not as a sole agent but as part of a multimodal technique to address postoperative LSCS pain.
Item Type:
Article In Press
Language:
en
MeSH:
Acute Pain; Administration, Topical; Adult; Anesthetics, Local; Cesarean Section; Female; Humans; Lidocaine; Pain, Postoperative; Pregnancy
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorGilhooly, Den_GB
dc.contributor.authorMcGarvey, Ben_GB
dc.contributor.authorO'Mahony, Hen_GB
dc.contributor.authorO'Connor, T Cen_GB
dc.date.accessioned2013-02-26T12:15:36Z-
dc.date.available2013-02-26T12:15:36Z-
dc.date.issued2011-02-
dc.identifier.citationTopical lidocaine patch 5% for acute postoperative pain control. 2011, 2011: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid22715181-
dc.identifier.doi10.1136/bcr.06.2010.3074-
dc.identifier.urihttp://hdl.handle.net/10147/270474-
dc.description.abstractA 39-year-old para 3 woman presented for elective caesarean section (lower segment caesarean section (LSCS)) for breech presentation. The patient had a strong history of atopy and anaphylaxis to paracetamol, codeine, penicillin and latex. The patient was asthmatic, triggered by aspirin. Epidural anaesthesia was unsuccessful and LSCS was carried out under spinal anaesthesia. Postoperatively the patient was unwilling to take analgesic medication due to fear of an allergic reaction. Three 5% lidocaine patches were applied to the wound for postoperative analgesia. This reduced the patient's visual analogue scale pain score from 10/10 to 5/10 at rest and 10/10 to 7/10 with movement. Transcutaneous electrical nerve stimulation was added and this improved associated back pain, reducing the pain further to 2/10. This is the first description of lignocaine patch 5% for postoperative LSCS pain. It is suggested that this method of delivery of local anaesthetic, which is easy to apply and has minimal side effects, should be considered not as a sole agent but as part of a multimodal technique to address postoperative LSCS pain.en_GB
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062814/pdf/bcr.06.2010.3074.pdfen_GB
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshAcute Pain-
dc.subject.meshAdministration, Topical-
dc.subject.meshAdult-
dc.subject.meshAnesthetics, Local-
dc.subject.meshCesarean Section-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLidocaine-
dc.subject.meshPain, Postoperative-
dc.subject.meshPregnancy-
dc.titleTopical lidocaine patch 5% for acute postoperative pain control.en_GB
dc.typeArticle In Pressen
dc.contributor.departmentAnaesthesia and Pain Management, Sligo General Hospital, Sligo, Ireland. d.gilhooly@excite.comen_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceConnachten

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