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Updated: Mar 30, 2026

Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems
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Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

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Feasibility of 4% Topical Lidocaine for Pain Management During Negative Pressure Wound Therapy Dressing Changes in

Vaidehi Agrawal1, Kirby Wilson, Roxana Reyna

  • 1Vaidehi 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.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|November 4, 2015
PubMed

Insights

Topical lidocaine effectively managed pain during negative pressure wound therapy (NPWT) dressing changes in a pediatric patient. This alternative to opioids showed no adverse effects, offering a safer pain management option.

Area of Science:

  • Pain Management
  • Wound Care
  • Pediatric Medicine

Background:

  • Opioid analgesics like morphine are standard for pediatric pain during negative pressure wound therapy (NPWT) dressing changes.
  • Opioids carry significant risks, including respiratory depression and constipation, necessitating safer alternatives.
  • Pediatric patients require effective and safe pain management strategies for wound care.

Observation:

  • A 15-year-old male with necrotizing adenopathy was treated for NPWT.
  • Four percent topical lidocaine was administered for pain control during dressing changes.
  • The patient's pain levels during NPWT dressing changes were monitored.

Findings:

  • Topical lidocaine significantly reduced pain associated with NPWT dressing changes.
  • No adverse side effects were observed with the use of 4% topical lidocaine.
  • Lidocaine provided effective analgesia in this pediatric case.

Implications:

  • Topical lidocaine presents a viable, safer alternative to opioids for pediatric NPWT pain management.
  • This approach may improve patient comfort and reduce opioid-related complications.
  • Further research into topical lidocaine for pediatric wound care is warranted.
Abstract

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