Feasibility of 4% topical lidocaine for pain management during negative pressure wound therapy dressing changes in pediatric patients a case study

Vaidehi Agrawal, Kirby Wilson, Roxana Reyna, Mohammad Ali Emran

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)640-642
Number of pages3
JournalJournal of Wound, Ostomy and Continence Nursing
Issue number6
StatePublished - Nov 3 2015



  • Alternative analgesic
  • Lidocaine
  • Negative pressure wound therapy
  • Pain management
  • Pain reduction .

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

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