Incision and drainage

Revision as of 18:53, 26 July 2011 by Rossdonaldson1 (talk | contribs) (Lidocaine Precautions)



  1. May use US or needle aspiration
  2. Check: Blood Glucose, IV drug use (XR r/o needle), consider HIV counseling/testing


  1. Antibiotics
    1. give if there is a large cellulitic component or fever
    2. Need to cover staph and strep.
  2. Update Tetanus

Incision & Drainage

  1. Be sure to document if packing was placed in the wound
  2. Anesthesia should be lidocaine or Marcaine without epinephrine
  3. Most patients need some pain medicine prior to procedure
  • Lido lasts 30-90 min, bupivicaine (.25%) max= 2mg/kg lasts 6-8 hr. Do NOT inject bupivicaine intravascularly b/c= refractory cardiac arrest!!!


Wound check in 1-2 days and wound care sheet