The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Use of Lidocaine Patch for Percutaneous Endoscopic Lumbar Discectomy

  • Kim, Kyung-Hoon (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University)
  • Received : 2011.01.24
  • Accepted : 2011.04.27
  • Published : 2011.06.01
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Abstract

Background: Lidocaine patch (L5P) has demonstrated short-term efficacy in treating both acute surgical pain and chronic neuropathic pain with tolerable side effects. Percutaneous endoscopic lumbar discectomy (PELD) is the mainstay of minimally invasive spine surgery (MISS). Sufficient analgesia during PELD surgery makes the patient consider it real MISS. This study was performed to evaluate the efficacy and adverse effects of lidocaine patch in patients who underwent PELD under local anesthesia. Methods: L5P (L group) or placebo (P group) was randomly applied on the skin of the back covering the anticipated path of the working channel before 1 hour of surgery in 100 patients who underwent a single level PELD at L4-L5. Efficacy of the lidocaine patch was assessed by patient's numeric rating scale (NRS) of pain at each stage during the surgery and by a 5-scale grading of the satisfaction with the anesthesia of the operator and patients after surgery. Results: Mean NRS scores at the stages of needle insertion, skin incision, serial dilation and insertion of working channel, and subcutaneous suture were significantly lower in the L group than the P group. Postoperative operator's and patients' satisfaction scores were also significantly higher in L group than in the P group. There were subtle adverse effects in both groups. Conclusions: L5P provided better pain relief during PELD, especially at the stage of needle insertion, skin incision, serial dilation and insertion of working channel, and subcutaneous suture. It also provided higher patient and operator postoperative satisfaction, with only subtle adverse effects.

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References

  1. Rowbotham MC, Davies PS, Verkempinck C, Galer BS. Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain 1996; 65: 39-44. https://doi.org/10.1016/0304-3959(95)00146-8
  2. Moon JY, Choi JB, Lee PB, Son HM, Nam FS, Kim YC, et al. An open-label trial of the 5% lidocaine patches for the treatment of chronic pain. Korean J Pain 2009; 22: 216-23. https://doi.org/10.3344/kjp.2009.22.3.216
  3. Curry SE, Finkel JC. Use of the Synera patch for local anesthesia before vascular access procedures: a randomized, double-blind, placebo-controlled study. Pain Med 2007; 8: 497-502. https://doi.org/10.1111/j.1526-4637.2006.00204.x
  4. Schecter AK, Pariser DM, Pariser RJ, Ling MR, Stewart D, Sadick NS. Randomized, double-blind, placebo-controlled study evaluating the lidocaine/tetracaine patch for induction of local anesthesia prior to minor dermatologic procedures in geriatric patients. Dermatol Surg 2005; 31: 287-91. https://doi.org/10.1097/00042728-200503000-00006
  5. Tsou PM, Alan Yeung C, Yeung AT. Posterolateral transforaminal selective endoscopic discectomy and thermal annuloplasty for chronic lumbar discogenic pain: a minimal access visualized intradiscal surgical procedure. Spine J 2004; 4: 564-73. https://doi.org/10.1016/j.spinee.2004.01.014
  6. Kim KH. Posterolateral percutaneous endoscopic lumbar discectomy. Korean J Pain 2004; 17(Suppl): 5-12. https://doi.org/10.3344/kjp.2004.17.S.S5
  7. Moeller TB, Reif E. Pocket atlas of sectional anatomy. Volume 3 spine, extremities, joints. Stuttgart, Thieme. 2007, pp 310-1.
  8. Ross LM, Lamperti ED. Atlas of anatomy. General anatomy and musculoskeletal system. Stuttgart, Thieme. 2006, pp 138-41.
  9. Freeman R. The treatment of neuropathic pain. CNS Spectr 2005; 10: 698-706. https://doi.org/10.1017/S1092852900019696
  10. Kern KU, Kohl M, Kiefer RT. Lidocaine patch for therapy of neuropathic and non-neuropathic pain. A clinical case series of 87 patients. Nervenarzt 2010; 81: 1490-7. https://doi.org/10.1007/s00115-010-3060-2
  11. Kanai A, Suzuki A, Okamoto H. Comparison of cutaneous anesthetic effect of 8% lidocaine spray with lidocaine patch using current perception threshold test. Pain Med 2010; 11: 472-5. https://doi.org/10.1111/j.1526-4637.2009.00790.x
  12. Lavand'homme P. Perioperative pain. Curr Opin Anaesthesiol 2006; 19: 556-61. https://doi.org/10.1097/01.aco.0000245284.53152.1f

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