Can everyone tell me about their institutional use of lidocaine infusions for analgesia? Either intra or postop.
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And occasionally to patients with complex chronic pain syndromes undergoing major surgery.
Initial bolus 1,5mg/kg followed by 2mg/kg/hr till end surgery.
We do not continue in recovery or on the ward.
https://www.sciencedirect.com/science/article/abs/pii/S0011384024001059
Having IV Lidocaine is better than having no LA at all, so the benefit is where another block isn't indicated. An example I would use for this is a laparoscopic adhesiolysis where there are just three port sites. Analgesic, anti-hyperalgesic, anti-inflammatory.
Anyone have haters at their institution?
We still can use epidurals on our wards, so lots of cases get that. Most general & urology surgeons put in rectus sheath catheters if epidural not used.
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https://academic.oup.com/bjaed/article/16/9/292/1743710?login=false