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Delirium Associated With Lidocaine Patch Administration: A Case Presentation
Author(s) -
Byun Eun Kwang,
Berry Kevin M.,
Lee Anthony,
OhPark Mooyeon
Publication year - 2016
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2015.12.006
Subject(s) - delirium , medicine , lidocaine , adverse effect , intensive care medicine , presentation (obstetrics) , rehabilitation , complication , anesthesia , physical therapy , surgery
Delirium is a common complication among hospitalized elderly individuals. Systemic analgesics are known precipitating factors for delirium. However, the risk from topical pain agents is not well documented. We report a case of a woman who developed delirium after the application of a lidocaine patch. Although lidocaine patches are generally perceived as safe, clinicians should be aware of delirium as a potential adverse effect, particularly in older patients. This report also highlights the role of a systematic approach of staff education, use of a standardized protocol, and interdisciplinary communication in the identification and management of delirium in acute rehabilitation facilities.