Intravenous Lidocaine for Intractable Renal Colic Unresponsive to Customary Remedy.
Am J Ther. 2018 Feb 13;:
Authors: Sin B, Cao J, Yang D, Ambert Okay, Punnapuzha S
CLINICAL FEATURES: Renal colic is outlined as a flank ache radiating to the groin attributable to kidney stones within the ureter (urolithiasis). Renal colic is a frequent reason behind Emergency Division visits. Most renal colic circumstances current as acute misery and extreme again and/or belly ache that require immediate remedy with analgesics.
THERAPEUTIC CHALLENGE: Nonsteroidal anti-inflammatory medication and opioids are historically used for renal colic within the Emergency Division. This pattern of observe relies on scientific expertise and professional opinion. Consensus pointers that present evidence-based method for the administration of renal colic are restricted. One consensus guideline from Europe gives a scientific method for the administration of ache with the usage of nonsteroidal anti-inflammatory drugss and opioids. Nevertheless, no steerage is supplied on tips on how to handle sufferers who don’t reply to those brokers.
SOLUTION: Intravenous lidocaine 120 mg in 100 mL regular saline was infused over 10 minutes for ache administration for intractable renal colic unresponsive to plain remedy. Three minutes after initiation of lidocaine infusion, the affected person reported numeric ache ranking scale 1/10. At 5 minutes, the reported numeric ache ranking scale was zero/10 and remained for 60 minutes after initiation of lidocaine infusion. No antagonistic occasions had been reported throughout or after the infusion, and no subsequent analgesia was required.
PMID: 29443696 [PubMed – as supplied by publisher]