Name of the Procedure:

Lidocaine 70 mg/Tetracaine 70 mg, Per Patch (HCPCS Code C9285)
Common Name: Topical Anesthetic Patch
Technical Term: Lidocaine 70 mg/Tetracaine 70 mg, Transdermal Patch

Summary

This procedure involves the application of a transdermal patch containing a combination of lidocaine and tetracaine, which are local anesthetics. The patch is used to numb the skin in a specific area to relieve pain or prepare for minor surgical procedures.

Purpose

The Lidocaine/Tetracaine patch is designed to manage localized pain or discomfort, especially for conditions requiring temporary pain relief or as an anesthetic prior to minor skin procedures.

Goals/Expected Outcomes:

• Reduction in localized pain
• Numbing of the skin surface for minor medical or surgical procedures

Indications

• Localized pain due to minor skin disorders
• Pre-procedure anesthesia for skin treatments or minor surgeries
• Patients who require temporary pain relief but do not have contraindications to topical anesthetics

Preparation

• No special preparation is typically required.
• Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements.
• A pre-application skin assessment to ensure there is no infection or severe irritation at the application site.
• No diagnostic tests are generally needed.

Procedure Description

1. The healthcare provider cleans the skin where the patch will be applied.
2. The patch is removed from its packaging and applied directly to the skin.
3. The patch stays on for a specified duration, usually between 30 minutes to an hour, depending on the purpose.
4. After the specified time, the patch is carefully removed, and the area may be wiped clean.

Tools/Equipment:

• Lidocaine/Tetracaine patch
• Cleansing wipes or solution for skin preparation

Anesthesia/Sedation:

• None required, as the patch itself provides local anesthetic effects.

Duration

The patch is typically worn for 30-60 minutes.

Setting

• Outpatient clinic
• Hospital outpatient department
• Minor procedure room

Personnel

• Physician or Nurse Practitioner
• Registered Nurse

Risks and Complications

Common Risks:

• Mild skin irritation at the application site
• Temporary redness or swelling

Rare Complications:

• Allergic reaction to the anesthetic components
• Severe skin reaction or infection at the application site

Management:

• Discontinuation of use
• Topical corticosteroids for severe skin reactions
• Immediate medical attention for signs of severe allergic reaction

Benefits

• Effective pain relief localized to the treated area
• Quick onset of numbing effect
• Can be used in a variety of minor procedures and pain conditions

Benefits Realized:

• Anesthetic effect typically begins within 30-60 minutes of application

Recovery

Post-Procedure Care:

• No specific care needed after patch removal
• Monitor for any signs of skin reaction
• Follow any further care instructions provided by the healthcare provider

Expected Recovery Time:

• Immediate resumption of normal activities once the patch is removed

Alternatives

• Oral or systemic pain relievers
• Topical creams or gels with anesthetics
• Injections of local anesthetics

Pros and Cons of Alternatives:

• Oral pain relievers may impact the entire body and take longer to work.
• Topical creams may not provide as deep or effective numbing.
• Injections can be more invasive and might cause discomfort from the needle.

Patient Experience

During the Procedure:

• Patients may feel a mild tingling or cooling sensation as the patch begins to work.

After the Procedure:

• The treated area will feel numb for a short period.
• Potential mild discomfort or itching at the application site.

Pain Management and Comfort Measures:

• Assure patients that any minor discomfort is usually temporary.
• Use soothing lotions or creams if there is any post-procedure skin irritation, as advised by the healthcare provider.