Clin Exp Emerg Med.  2016 Jun;3(2):105-108. 10.15441/ceem.15.103.

Intravenous lidocaine for the treatment of acute pain in the emergency department

Affiliations
  • 1Division of Emergency Medicine, Washington University School of Medicine in St. Louis, St. Louis, MO, USA. fitzpatrickb@wusm.wustl.edu

Abstract


OBJECTIVE
To evaluate intravenous lidocaine's safety and efficacy as an analgesic agent in the treatment of a variety of painful conditions presenting to the emergency department.
METHODS
This case series identified seventeen patients who received lidocaine over a six month period and recorded demographic data, amount of lidocaine administered, the amount of opioid medication administered before and after lidocaine, pre- and post-lidocaine pain scores, and any qualitative descriptors of the patient's pain recorded in the record. Side effects and adverse events were also recorded.
RESULTS
Of the seven patients who had a pre- and post-lidocaine pain score recorded, the mean reduction was 3 points on a 10 point scale. Patients who received lidocaine used less opioid medication. One patient received an improperly high dose of lidocaine and suffered a brief seizure and cardiac arrest, but was quickly resuscitated.
CONCLUSION
This series suggests that lidocaine may be a useful adjunct in the treatment of acutely painful conditions in the emergency department.

Keyword

Lidocaine; Analgesia; Pain control

MeSH Terms

Acute Pain*
Analgesia
Emergencies*
Emergency Service, Hospital*
Heart Arrest
Humans
Lidocaine*
Seizures
Subject Headings
Lidocaine
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