title: Feasibility of 4% Topical Lidocaine for Pain Management During Negative Pressure Wound Therapy Dressing Changes in Pediatric Patients: A Case Study.
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.
  
  
  CONCLUSIONS
  The 4% topical lidocaine reduced the pain associated with dressing changes during NPWT. No adverse side effects were observed.
authors.affiliation: 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.
authors.forename: Vaidehi
authors.initials: V
authors.lastname: Agrawal
authors.forename: Kirby
authors.initials: K
authors.lastname: Wilson
authors.forename: Roxana
authors.initials: R
authors.lastname: Reyna
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Emran
mesh_terms: D000287:Administration, Topical; D000293:Adolescent; D001458:Bandages; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000009:adverse effects*; D059408:Pain Management / Q000379:methods*
chemical_list: D008012:Lidocaine