wound numbing spray

Published

Specializes in Hospice, Geriatrics, Wounds.

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...

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

Error ... not vibrating wound ...FUNGATING WOUND

Up Vote Up Vote ×
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?

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

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)?

Up Vote Up Vote ×
Specializes in Nephrology, Cardiology, ER, ICU.

Ethyl chloride is what I think you are talking about but it's not to be used for open wounds

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

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 ...

Up Vote Up Vote ×
Specializes in Clinical Documentation Specialist, LTC.

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.

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

Wow..this could really help I think....trying to see where I can get it from..... definitely gonna try...THANKS!!!!!

Up Vote Up Vote ×
Specializes in L&D,Wound Care, SNC.

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.

Up Vote Up Vote ×

I believe it is the Hurricane spray that you are referring to . It has up to 20% benzocaine.

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

Isn't the hurricane spray for TOPICAL use? This particular wound is deep (bone\tendon). It's gotten so bad my pt has drainage coming from nose and mouth all the time from tunneling ...soooooo sad and heartbreaking

Up Vote Up Vote ×
+ Join the Discussion