• Lydocaine being placed at port site. Questioning covering area ..

    Asked by Littlehouse on Saturday, January 21, 2012

    Lydocaine being placed at port site. Questioning covering area ..

    I had a port placed last month so next week will be the first time the port is accessed with a needle. Read that Lydocaine would help with soreness? My question is do I just rub some on? Do I need to cover area with some type of dressing and to put on about an hour before treatment. It takes me about an
    1 1/2 to get to clinic. So do I need to wait and place ointment on while in route? How long does it last?

    18 Answers from the Community

    18 answers
    • Barb's Avatar

      Hi...when I had my port inserted, two days later it was accessed for a blood draw, and I was surprised that it hurt. The nurse ordered the lidocaine ointment for me, and although she gave me a covering for it, she told me I could just cover it over with Saran Wrap, as the covering was just to keep it from getting on my clothes. I put a lot on, (like she told me to) four days later when I was going to get my chemo. I have to be honest and tell you it didn't make that much of a difference. Fortunately, the nurse left the needle in for that whole week, which was great. i was told it hurt because the port was new. i go back for my second round of chemo and a new needle will be put in. We'll see. I also saw some people getting needles to their ports and they didn't seem bothered at all.. .... So to sum up, yes rub a lot on, cover with Saran wrap, and I'm sure it will be still effective when you get there. Good luck, and warm wishes!

      over 4 years ago
    • nancyjac's Avatar

      I would check with your doctor before you do anything. My oncology center is very careful to make sure that the area around the port is totally sterile each time they use it. If patients ask for it, they can do it before they insert the needle. The numbing effect only lasts a few minutes so there is no benefit to using it before you get there anyway. I've never used it and never had any soreness, just a slight XXX when they insert it.

      over 4 years ago
    • susie81610's Avatar

      I have been using my port for almost 2yrs and never had anything to numb it. Just turn your head the other way take a deep breath and its done. This is the least of your pain after what you have been through. I watch them because it doesn't bother me at all. Try with the cream and try without see if their if any difference? Good Luck to you.

      over 4 years ago
    • TJM's Avatar

      I've had a port for over 6 months. I always felt that initial pain from needle insertion that i seemed to try to prepare for but failed...the anxiety and pain was finally relieved when my Oncologist told me about the lidocaine cream. She gave me the cream to administer (rub on) 1/2 hour prior to port use and to cover it with a special type bandage they supplied. PERFECT! No more anxiety and no more pain when inserting for treatment. Try it. You have enough to worry about besides somehting that can be fixed.

      over 4 years ago
    • buckeyeboy470's Avatar

      I had a port put in my left shoulder. Have had numerous treatments. Each time it is accessed they always use a numbing spray first. Usually I don't feel anything after doing this. Try that, think you'll find it takes the discomfort away.

      over 4 years ago
    • Robert_in_DFW's Avatar

      Use the Lidocaine and apply it liberally. You can use Saran wrap to cover it. I was on a continuous infusion so I couldn't apply the lotion until I was at the clinic and I always made them wait an hour before accessing the port. I found that after two hours the lidocaine would wear off and offer no benefit You can also ask them to use the spray which chills the skin in the port area. The spray doesn't penetrate like the lidocaine but every bit can help. They will clean the lotion off and sterlize the area before accessing the port The best OCNs will have you take a deep breath and during exhale will access the port. I've found this combination to be almost pain free.

      over 4 years ago
    • shineon6's Avatar

      The first time they used my port it wasn't as bad as I had imagined. Kinda like someone gave you a shot; poorly. A good XXX, but then it was over. Everyone is different, I definitely agree with the other "answer" that you need to ask your doctor or chemo nurse!!! Once the needle is in, there is no pain, so just a few seconds ........Good Luck, I hope it doesn't hurt at all!
      I find less painful than IVs I have had inserted!

      over 4 years ago
    • cpadilla2930's Avatar

      My mothers oncologist prescribed her emla cream 30gg (lidocaine/prilocaine) she would put on some on the tip of her finger about the size por a nickle then put it over her button to cover the area and put a square of syran wrap until she got to the Dr and the nurse would clean it off and then sanitize the area and do their normal procedures

      over 4 years ago
    • leepenn's Avatar

      cpadilla - that's exactly what i did - every time except once. it's worth it. anything that makes this experience less sucky is worth it.

      the sting of the needle poke without it lasts only a few seconds, but it seemed kind of intense to me... so i was glad to use the emla....

      put it on about one hour before your infusion.
      about the size of a nickel is perfect.
      then pop that syran wrap right on there.... and viola!

      if you use a messenger bag or whatever... just make sure it doesn't get smooshed over. my shoulder strap hits exactly where my port is, which is annoying.

      i'd say, put it on when you're about 30 minutes away from the clinic. it always takes time to get from arrival to infusion, yes? and it seems to me that about an hour is ideal. slightly more / slightly less - all good... but about an hour is ideal.

      good luck.

      over 4 years ago
    • abrub's Avatar

      I, too, used Emla cream, for both my chest port and belly port (I had chemo directly into my belly through a belly port, as well as systemic chemo into my veins.)

      I was told to gob on the Emla an hour before, not rub it in. More like frosting a cake. Then I covered it with either a tegaderm or saran wrap. They removed it at the clinic, and I never felt the ports being accessed.

      over 4 years ago
    • Janice's Avatar

      I have had my port for 6 years. They offered me cream to make it numb before using it, but I've never used it. It is sore in the beginning, but after a while not a problem. It does stick a bit, but it is a needle, and it is much, much better than when your veins get bad and they can't access the vein - that is pain! Try the numbing cream, that what it is for, and in time you'll get used to having it.

      over 4 years ago
    • IKickedIt's Avatar

      For me, accessing my port was less painful than getting blood drawn from my arm. I was so thankful that I had the port (which is coming out tomorrow - yea!). It was a stab, but not a burning stab like when they go in your vein. Just like a pressing stab. There were other things I hated more...like when they drew blood from my arm for the full work-up and even the taste of the flush bothered me more than the actual stab.

      over 4 years ago
    • PinkD's Avatar

      Emla and tegaderm were great! I wish I had heard about it and insisted on it for that first chemo treatment when my new port was still tender. I was never needle-phobic until I had a nurse had trouble accessing my port during my second treatment, and that phobia intensified throughout chemo and continues to this day. Some people can just suck it up but we all have different levels of pain tolerance. If you hate the needle stick and there's something that makes it easier, even just psychologically, go for it!!

      over 4 years ago
    • charku47's Avatar

      Lydocaine is amazing! When my port was accessed it always hurt and the few times I forgot to put the cream on before my oncologist appointment after my chemo was over before I had the port removed I was so sorry I forgot to put this on. Take the cream with you so you can reapply it if your appoint is delayed. I read the directions and I thought mine said an hour prior. I didn't rub mine in but put on about an inch thick, I did it wrong and used it sparingly the first time and it didn't help much. Use a big glob of it and cover with saran wrap and tape it over. Take your tube with you in case of any delays you can reapply. It is amazing!

      over 4 years ago
    • KendallHHC's Avatar

      I just asked the nurse to spray my port before inserting the needle. I'm assuming it was some sort of lydocaine spray. It definitely helped!

      over 4 years ago
    • Carol55's Avatar

      Have used the Lydocaine with Saran wrap every time except one time. It hurt more without it, but not unbearable. What has hurt it the constant discomfort underneath from the actual port. It was uncomfortable for about 4-5 months and still aches sometimes. I definitely like the pre-treatment much better.

      over 4 years ago
    • Littlehouse's Avatar

      Thanks for all the responses. I went yesterday and I put a wad of lydocane on and then the saran wrap. It really went well. It felt kind a like getting a shot. It was quick and painless for the most part.
      Again thanks for all the replys. Its really nice to have people to talk to that is going thru the same type of things.

      over 4 years ago
    • DaveWaz's Avatar


      If you are looking for more information on chemo ports, this question reminded me of two articles you might want to check out:

      Beginner's Guide to Chemo Ports

      Blog Article - To port or not to port? - WhatNexters Weigh in On Chemo Ports

      Hope all is well,

      about 3 years ago

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