Medical College of Wisconsin
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Safety, tolerability, and short-term efficacy of intravenous lidocaine infusions for the treatment of chronic pain in adolescents and young adults: a preliminary report. Pain Med 2014 May;15(5):820-5

Date

01/16/2014

Pubmed ID

24423053

DOI

10.1111/pme.12333

Abstract

OBJECTIVE: To provide pediatric care providers with insight into lidocaine infusions for analgesia.

AIM: This retrospective review was conducted to describe lidocaine infusions for chronic refractory pain within the adolescent and young adult pain population.

SETTING: Although lidocaine infusions have been used for pain management in adults, their analgesic utility in the adolescent and young adult population is limited and so is the evidence for their efficacy and safety.

METHODS: After Institutional Board Review approval, a retrospective review of efficacy and safety data for analgesic use of lidocaine was conducted.

RESULTS: Fifteen patients received 58 infusions with 76% receiving relief where maximum relief was seen among patients with starting pain scores ≥6/10 (mean reduction 2.3 vs. 0.5, P value = 0.006) and when a patient had three or more infusions (mean reduction 1.7 compared with 1.2). No serious side effects were encountered, but only mild or moderate side effects that did not require any intervention. Incidence of tingling or numbness and nausea or vomiting seemed to correlate with total dose of lidocaine per kilogram body weight. Patients reported reduced pain scores (6.3 ± 2.3 to 4.6 ± 2.5 before compared with after the infusion [as mean ± standard deviation]) during 80% of infusions.

CONCLUSIONS: Our limited experience suggests that lidocaine infusions are well tolerated in the adolescent and young adult pain population, with side effects resolving quickly with interruption or discontinuation of the infusion if necessary. Future studies are warranted to examine safety, efficacy, mechanism of actions, and its long-term impact on a developing central nervous system.

Author List

Mooney JJ, Pagel PS, Kundu A

Author

Paul S. Pagel MD, PhD Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anesthetics, Local
Back Pain
Chest Pain
Child
Chronic Pain
Female
Headache
Humans
Infusions, Intravenous
Lidocaine
Male
Pain Measurement
Pilot Projects
Retrospective Studies
Treatment Outcome
Young Adult
jenkins-FCD Prod-387 b0ced2662056320369de4e5cd5f21c218c03feb3