Intravenous lidocaine infusion: should we stop or continue?

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Abstract

The article is a response to an editorial published in the February 2021 issue of Anesthesia that negatively assessed the prospects for the intravenous infusion of lidocaine as a component of postoperative analgesia. The issues regarding the effectiveness and safety of this technique are considered. The data on evidence-based medicine confirming the advisability of perioperative intravenous infusion of lidocaine are presented.

About the authors

Alexey Mikhailovich Ovechkin

I.M.Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699
SPIN-code: 1277-9220

MD, PhD

Russian Federation, 2/4, Bolshaya Pirogovskaya st., Moscow, 119991

References

  1. Pandit JJ, McGuire N. Unlicensed intravenous lidocaine for postoperative pain: always a safer ‘licence to stop’ than to start. Anaesthesia. 2021;76(2):156–160. doi: 10.1111/anae.15286
  2. Foo I, Macfarlane AJR, Srivastava D, et al. The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety. Anaesthesia. 2021;76(2):238–250. doi: 10.1111/anae.15270
  3. Marret E, Rolin M, Beaussier M, Bonnet F. Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery. Br J Surg. 2008;95(11):1331–1338. doi: 10.1002/bjs.6375
  4. Australian and New Zealand College of Anaesthetists 2015. Acute Pain Management: Scientific Evidence (4th edition), ANZCA & FPM, Melbourne; 2015.
  5. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131–157. doi: 10.1016/j.jpain.2015.12.008
  6. Ovechkin AM, Bayalieva AZh, Ezhevskaya AA, et al. Postoperative analgesia. Intensive care herald. 2019;(4):9–33. (In Russ). doi: 10.21320/1818-474X-2019-4-9-33

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