Cutaneous Abscess, Pain
Conditions
Keywords
local anesthetic, incision and drainage, pain, cutaneous abscess
Brief summary
Local anesthesia used for incision and drainage of abscesses is known to be painful. We studied the analgesia provided by a lidocaine/tetracaine patch compared to injectable lidocaine during incision and drainage (I&D) of skin abscesses. Local injection of lidocaine provided similar analgesia compared to the lidocaine/tetracaine patch during I&D of skin abscesses in the Emergency Department. Pain at presentation and following the procedure was similar in both groups.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>18 years * Skin abscess in need of incision and drainage (judged by treating physician)
Exclusion criteria
* Allergy to lidocaine or tetracaine * Non-intact skin * Unable/unwilling to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in VAS pain score over time | Immediately prior to starting I&D (Time 0); 2-5 minutes after start of I&D (Time 1); within 1 minute of completion of I&D (Time 2) | VAS measured at each of the 3 time points noted above. |