Delirium Associated With Lidocaine Patch Administration: A Case Presentation

PM & R : the Journal of Injury, Function, and Rehabilitation
Eun Kwang ByunMooyeon Oh-Park

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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Citations

Mar 5, 2016·Wiener medizinische Wochenschrift·Barbara BellmannMattias Roser
May 10, 2018·American Journal of Physical Medicine & Rehabilitation·Mooyeon Oh-ParkA M Barrett
Dec 7, 2018·Current Opinion in Anaesthesiology·Benjamin Luchting, Shahnaz Christina Azad
Dec 5, 2021·The Senior Care Pharmacist·George A DeMaagdAshok Philip

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