Abstract
for treating neuropathic pain. Pain experienced in the process of wound management is a common challenge in palliative medicine, frequently not amenable to standard opioid or topical therapies. This paper describes a protocol for the use of intermittent infused lidocaine for painful wound management. II. Case Description. Three patients presented with complex wounds (abdominal and perineal, all cancer-related) resulting in significant pain unresponsive to standard wound management protocols and preemptive analgesic administration. A procedure was developed using protocols adapted from literature descriptions of intravenous lidocaine usage for neuropathic pain. In each circumstance, complete analgesia was accomplished with this protocol with no side effects and resultant reduction in opioid exposure. III. Conclusion. Intermittent infused lidocaine is an effective option for the treatment of pain associated with dressing changes in patients with complex wounds.
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