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Lidocaine 5% medicated plaster for localized neuropathic pain in thoracic surgical patients
Ulderico Freo1, Carlo Ori1, Francesco Ambrosio1
1a Anesthesiology and Intensive Medicine, Department of Medicine - DIMED , Padua University , Padua , Italy.
Context:
Neuropathic pain is a common and distressing symptom in thoracic surgical patients. When it consistently presents with measurable sensory changes in a circumscribed area, neuropathic pain can be diagnosed as localized neuropathic pain (LNP).
Objective:
The purpose of this study was to report the efficacy of lidocaine 5% medicated plaster (Lido5%P) in the treatment of LNP in thoracic surgical patients.
Methods:
We retrospectively reviewed the records of sixteen cancer and noncancer thoracic patients treated with Lido5%P for LNP. Patients had been assessed before and during treatment with standardized forms and questionnaires for pain intensity, sleep quality, drug dosages and adverse events.
Results:
Treatment with Lido5%P yielded a significant and lasting improvement in pain symptomatology. In oncological patients as an add-on therapy, Lido5%P improved pain intensity and sleep quality, and delayed opioid dose escalation. In non-oncological patients as monotherapy or in association with antineuropathic drugs, Lido5%P attenuated LNP. No local or systemic adverse events were recorded.
Conclusions:
Lido5%P was effective in relieving thoracic LNP, and was well tolerated.
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