Delirium Associated With Lidocaine Patch Administration: A Case Presentation.

PM R

Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ; Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052; Kessler Foundation, West Orange, NJ(§). Electronic address:

Published: June 2016

AI Article Synopsis

  • Delirium is a frequent issue for hospitalized elderly patients, often triggered by systemic pain medications, but the effects of topical pain relief methods like lidocaine patches are not well established.
  • A case is presented where an elderly woman experienced delirium after using a lidocaine patch, suggesting that even these typically safe treatments can have unexpected side effects.
  • The report emphasizes the importance of staff education, standardized protocols, and effective teamwork in recognizing and managing delirium in acute rehabilitation settings.

Article Abstract

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.

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Source
http://dx.doi.org/10.1016/j.pmrj.2015.12.006DOI Listing

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