AI Article Synopsis
- General practitioners often use lignocaine to excise suspected skin cancers, but it's unclear how its dose and volume affect wound complications.
- A pilot study reviewed patient records before and after an educational intervention, examining the link between lignocaine volume/dose and complication rates.
- Findings indicated that both the volume and dose of lignocaine were significantly related to complications, leading to reduced usage post-intervention without compromising pain relief, suggesting a need for further research in this area.
Article Abstract
Background And Objectives: General practitioners excise many suspected skin cancers using local anaesthetics such as lignocaine, but the relationships between the dose and volume of the local anaesthetic and wound complications are unclear. This pilot study considers an association between the dose and volume and complications.
Method: An audit was conducted of patient records from two time periods: one before and one after an education intervention. Data extracted included lignocaine (volume and dose), wound complications (dehiscence and infection) and the demographics of patients and clinicians.
Results: Both the dose and volume of lignocaine administered were significantly associated with complication rates (P=0.0084 and P=0.0209, respectively). In the post-intervention period, clinician behaviour changed, with a reduction in the volume and dose of lignocaine administered (P<0.001 and P<0.001, respectively) without episodes of inadequate analgesia.
Discussion: This pilot study reported a relationship between lidocaine dose and volume and rates of complications. Shortcomings of this study limit attribution of findings to clinical practice. However, the results justify further rigorous research.
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| http://dx.doi.org/10.31128/AJGP-04-23-6816 | DOI Listing |
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