To reduce discomfort for patients who need their skin abscess repacked with gauze strip: (1) Pull out old packing. (2) If wound is not clean, gently irrigate with saline. (3) Using a needleless syringe, fill the abscess cavity with lidocaine 1% or 2% with or without epinephrine. (4) Wait four to five minutes (I write the note at this time). (5) Remove excess lidocaine by gently squeezing wound edges. (6) Repack with gauze strip.
—John D. Cowsar Jr, DO, San Antonio (102-23)