Efficacy of transdermal 4% lidocaine patches for postoperative pain management after arthroscopic rotator cuff repair: a prospective trial

Postoperative pain management continues to be a challenging aspect of patient care. Lidocaine patches have shown efficacy in reducing pain in other surgical specialties and mixed results in orthopedic trials. We sought to determine the effectiveness of nonprescription lidocaine patches in reducing p...

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Bibliographic Details
Published in:JSES international 2022-01, Vol.6 (1), p.104-110
Main Authors: Lee, Donghoon, Campbell, Richard E., Leider, Morgan L., Pepe, Matthew M., Tucker, Bradford S., Tjoumakaris, Fotios P.
Format: Article
Language:English
Subjects:
Analgesia
Lidocaine
Pain
Repair
Rotator cuff
Shoulder
Surgery
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Summary:Postoperative pain management continues to be a challenging aspect of patient care. Lidocaine patches have shown efficacy in reducing pain in other surgical specialties and mixed results in orthopedic trials. We sought to determine the effectiveness of nonprescription lidocaine patches in reducing postoperative pain after arthroscopic rotator cuff repair Patients undergoing primary arthroscopic rotator cuff repair were recruited from 3 surgeons at a single institution. All patients of each surgeon were randomized to a lidocaine patch or control group, with crossover occurring at the midpoint. Experimental group patients received 26 4% lidocaine gel-patches. They were provided written and visual instructions to begin wearing the lidocaine patches during daytime on postoperative day (POD) 2. They were to be switched every 8 hours and removed overnight. Control group patients received normal standard of care but did not receive a placebo control. Exclusion criteria included workmen’s compensation claims, age
ISSN:2666-6383
2666-6383
DOI:10.1016/j.jseint.2021.09.006