title: Delirium Associated With Lidocaine Patch Administration: A Case Presentation.
abstract: Delirium is a common complication among hospitalized elderly individuals. Systemic analgesics are known precipitating factors for delirium. However, the risk from topical pain agents is not well documented. We report a case of a woman who developed delirium after the application of a lidocaine patch. Although lidocaine patches are generally perceived as safe, clinicians should be aware of delirium as a potential adverse effect, particularly in older patients. This report also highlights the role of a systematic approach of staff education, use of a standardized protocol, and interdisciplinary communication in the identification and management of delirium in acute rehabilitation facilities.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ; Kessler Institute for Rehabilitation, Saddle Brook, NJ(∗).
authors.forename: Eun Kwang
authors.initials: EK
authors.lastname: Byun
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ(†).
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Berry
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ; Kessler Institute for Rehabilitation, Saddle Brook, NJ(‡).
authors.forename: Anthony
authors.initials: A
authors.lastname: Lee
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ; Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052; Kessler Foundation, West Orange, NJ(§). Electronic address: mopark@kessler-rehab.com.
authors.forename: Mooyeon
authors.initials: M
authors.lastname: Oh-Park
mesh_terms: D000700:Analgesics; D000779:Anesthetics, Local; D003693:Delirium; D005260:Female; D006801:Humans; D008012:Lidocaine; D010146:Pain
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D008012:Lidocaine