wound numbing spray

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    Can someone please tell me the name of a numbing spray I can try to get for a pt of mine? Pt has large vibrating wound, which encompasses the entire side of her face. Eye swollen shut, deep wound with bone exposed in several areas. She takes ms contin 30mg BID and has morphine sulfate IR 15mg PRN, but suffers so much discomfort when dressing is changed. I just don't know what to do to help her.... another nurse changed my order of mwdihoney to silvidene impregnated chase for packing. I don't like using the silvidene bc of depth of wound, and it seems to thin easily, and run down her neck when the facility med techs do drsg (they don't do correctly even after several teaching sessions). Any drag ideas??? Thanks in advance...

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  2. 11 Comments...

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    Error ... not vibrating wound ...FUNGATING WOUND
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    Quote from NC29mom
    Can someone please tell me the name of a numbing spray I can try to get for a pt of mine? Pt has large vibrating wound, which encompasses the entire side of her face. Eye swollen shut, deep wound with bone exposed in several areas. She takes ms contin 30mg BID and has morphine sulfate IR 15mg PRN, but suffers so much discomfort when dressing is changed. I just don't know what to do to help her.... another nurse changed my order of mwdihoney to silvidene impregnated chase for packing. I don't like using the silvidene bc of depth of wound, and it seems to thin easily, and run down her neck when the facility med techs do drsg (they don't do correctly even after several teaching sessions). Any drag ideas??? Thanks in advance...
    I had to laugh, I was really trying to envision a vibrating wound lol. But anyway, I was wondering, it seems like the trigeminal nerve is involved, and wondering if the physicians involved with her care would be able to block the nerve? I havn't dealt with this kind of thing before, but maybe worth an ask?
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    Well, actually this is a hospice patient......so unfortunately, blocking the nerve isn't an option. There is also an area of tunneling near the nose which (we think) extends through sinus cavity, and drains into her oral cavity. I have been around a lot of fungating wounds in hospice, but this one by far is the worst. I was just brainstorming and wondering if there was an aerosol numbing spray I could use prior to changing her drsg ...... as our philosophy in hospice is comfort care...... any thoughts on a better packing material (other than silvidene impregnated guaze/adaptic)?
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    Ethyl chloride is what I think you are talking about but it's not to be used for open wounds
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    The one I'm thinking about can be used on open wounds ... remember from shadowing at wound clinic several years ago ... they would spray directly to wound bed, wait about 1-2 minutes, then debride ...
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    I work in a wound clinic and we use 4% topical Lidocaine or injectable Lidocaine for deep lacerations/wounds. I wonder if topical Lidocaine applied a few minutes prior to dressing changes would help with the pain. We treat some pretty nasty wounds and it seems topical Lidocaine does the trick in numbing pain for debridement.
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    Wow..this could really help I think....trying to see where I can get it from..... definitely gonna try...THANKS!!!!!
  11. 0
    Are you referring to Hurricane (Benzocaine) spray? I work in an outpatient wound care clininc and it is used along with 4% topical tetracaine in our clinic prior to debridement.


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