Intravenous lidocaine infusion in children

BACKGROUND: The problem of adequate analgesia in the early postoperative period is not relevant at present, both our country and abroad because 50% children experience pain after surgical interventions despite ongoing therapy. Inadequate ideal method for assessing syndrome severity, age restrictions with several drugs, difficult communication young children, as well drug selection, lead to inadequate detection pediatric practice.
 AIM: This study aimed evaluate effectiveness safety intravenous infusion lidocaine operated on abdominal cavity organs.
 MATERIALS AND METHODS: included 119 who were randomized into 3 groups, which infusion, prolonged epidural blockade, or systemic fentanyl used relief surgery. Hemodynamic parameters, respiratory system, intensity, resolution time intestinal paresis, cortisol, glucose levels blood plasma, complications monitored compared intergroup.
 RESULTS: Lidocaine had no effects hemodynamics system children. Cortisol level was markedly decreased through day baseline (32065 nmol/l). Early recovery peristalsis corresponded 233.75 h postoperatively. intensity during observation did exceed 2 points. maximum free plasma 2.811.31 g/ml, spent intensive care unit (ICU) 4810 h.
 CONCLUSION: Intravenous surgery a safe that provides effective relief, restores early, reduces length ICU stay.