Cargando…

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

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 dem...

Descripción completa

Detalles Bibliográficos
Autores principales: Fitzpatrick, Brendan Michael, Mullins, Michael Eugene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051607/
https://www.ncbi.nlm.nih.gov/pubmed/27752626
http://dx.doi.org/10.15441/ceem.15.103
_version_ 1782458109877288960
author Fitzpatrick, Brendan Michael
Mullins, Michael Eugene
author_facet Fitzpatrick, Brendan Michael
Mullins, Michael Eugene
author_sort Fitzpatrick, Brendan Michael
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5051607
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher The Korean Society of Emergency Medicine
record_format MEDLINE/PubMed
spelling pubmed-50516072016-10-17 Intravenous lidocaine for the treatment of acute pain in the emergency department Fitzpatrick, Brendan Michael Mullins, Michael Eugene Clin Exp Emerg Med Original Article 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. The Korean Society of Emergency Medicine 2016-06-30 /pmc/articles/PMC5051607/ /pubmed/27752626 http://dx.doi.org/10.15441/ceem.15.103 Text en Copyright © 2016 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Original Article
Fitzpatrick, Brendan Michael
Mullins, Michael Eugene
Intravenous lidocaine for the treatment of acute pain in the emergency department
title Intravenous lidocaine for the treatment of acute pain in the emergency department
title_full Intravenous lidocaine for the treatment of acute pain in the emergency department
title_fullStr Intravenous lidocaine for the treatment of acute pain in the emergency department
title_full_unstemmed Intravenous lidocaine for the treatment of acute pain in the emergency department
title_short Intravenous lidocaine for the treatment of acute pain in the emergency department
title_sort intravenous lidocaine for the treatment of acute pain in the emergency department
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051607/
https://www.ncbi.nlm.nih.gov/pubmed/27752626
http://dx.doi.org/10.15441/ceem.15.103
work_keys_str_mv AT fitzpatrickbrendanmichael intravenouslidocaineforthetreatmentofacutepainintheemergencydepartment
AT mullinsmichaeleugene intravenouslidocaineforthetreatmentofacutepainintheemergencydepartment