IV Lidocaine for Analgesia

Lidocaine bolus and infusion are now frequently employed as an opioid sparing, anti-inflammatory and multimodal analgesia technique in major surgery and may hasten return of bowel function.

The current study shows benefits in the ER for severe pain and are another option in our war on opioids. The current enthusiasm for Lidocaine in fairly generous doses should be tempered by evaluation for cardiac disease or dysrhythmia, and the potential deleterious effects.

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