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Intravenous Lidocaine

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Analgesia in Major Abdominal Surgery

Abstract

Lidocaine is an amide-type local anesthetic which when administered via the intravenous (IV) route has beneficial systemic effects. IV lidocaine is a potent anti-inflammatory, anti-hyperalgesic, and gastrointestinal pro-peristaltic drug. The peri-operative use of IV lidocaine infusions is supported by Level 1 evidence after abdominal surgery with demonstrated decreased pain scores, opioid analgesic consumption and their side effects. IV lidocaine is a useful acute pain adjunct that can further contribute to enhanced recovery after surgery (ERAS) outcomes—early ambulation and feeding with reduction in length of stay. Extensive experience confirms that with careful patient selection, appropriate monitoring and nursing support, protocols for the continuation of IV lidocaine infusions after surgery can be implemented.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada

    Naveen Eipe

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  1. Naveen Eipe
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Correspondence to Naveen Eipe .

Editor information

Editors and Affiliations

  1. Department of Anaesthetics and Critical Care, Royal Blackburn Hospital, Blackburn, Lancashire, UK

    Anton Krige

  2. Department of Anesthesiology and Critical Care, Virginia Commonwealth University Hospital, Richmond, VA, USA

    Michael J. P. Scott

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Eipe, N. (2018). Intravenous Lidocaine. In: Krige, A., Scott, M. (eds) Analgesia in Major Abdominal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94482-1_6

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  • DOI: https://doi.org/10.1007/978-3-319-94482-1_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94480-7

  • Online ISBN: 978-3-319-94482-1

  • eBook Packages: MedicineMedicine (R0)

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