Agrawal Vaidehi, Wilson Kirby, Reyna Roxana, Emran Mohammad Ali
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.
J Wound Ostomy Continence Nurs. 2015 Nov-Dec;42(6):640-2. doi: 10.1097/WON.0000000000000189.
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.
Four percent topical lidocaine was used for pain management during dressing changes for NPWT in a 15-year-old Hispanic male with necrotizing adenopathy.
The 4% topical lidocaine reduced the pain associated with dressing changes during NPWT. No adverse side effects were observed.
吗啡等阿片类镇痛药常用于接受负压伤口治疗（NPWT）换药的儿科患者的疼痛管理。虽然这些药物可减轻相关疼痛，但它们也会带来一系列副作用，从便秘、头痛、头晕到呼吸抑制、胸壁僵硬甚至死亡。接受NPWT的儿科患者需要其他镇痛方法。
一名患有坏死性腺病的15岁西班牙裔男性在接受NPWT换药时，使用4%的利多卡因局部用药进行疼痛管理。
4%的利多卡因局部用药减轻了NPWT换药时的疼痛。未观察到不良副作用。
