Lignocaine Toxicity in Burn Cases

Abstract

Pain is one of the constant features of burn injuries. Many protocols are utilized to
alleviate pain in these patients. Lignocaine containing ointment and fusidic acid in combination
with hydrocortisone cream are routinely used as topical application in the wound care of burn
patients at our setup. During a period of nine years, five patients experienced adverse effects of
lignocaine, active ingredient of Ointment, which were immediately controlled once this drug was
discontinued. All these patients, who were being treated for burn injury involving more than 20%
BSA(Body Surface Area), responded well on excluding the lignocaine from treatment medication
and did not require any anticonvulsant to treat these adverse effects.