This study was performed in order to determine concentration-effect, and graded and quantal dose-response relationships for the clinical administration of intravenous (IV) lidocaine to patients with neuropathic pain. Thirteen patients were administered 500 mg of IV lidocaine at a rate of 8.35 mg/min over 60 min. Visual analog pain scores and venous blood samples were obtained concomitantly at 1...

INTRODUCTION With the increased use of extracorporeal shock wave lithotripsy (ESWL), the management of urolithiasis has become much convenient for the patients and the health care professionals alike. However, associated with the procedure is the common complaint of pain. No agreed upon pain management strategy has yet been developed for the procedure. We compared the effect of different analge...

BACKGROUND Some paraplegic patients may wish undergo some surgical procedures, like urological procedures, without anesthesia. However, these patients can develop autonomic hyperreflexia if cystoscopy is performed without anesthesia. CASE PRESENTATION We present a case of severe autonomic hyperreflexia in a 44-year-old male with spinal cord injury at the level of T4 during urologic procedure ...

Retrospective cohort study. Data was collected from medical records June 2018 to September 2019 for consecutive patients aged 18 and older undergoing elective laparoscopic sleeve gastrectomy obesity. A standardized ERAS pathway bariatric surgery utilized in all study patients. For anesthetic maintenance, the OFA group (n = 46) received propofol combined with dexmedetomidine, lidocaine, and/or k...

Reducing the duration of postoperative paralytic ileus remains a major challenge for anesthetists in digestive surgery. Numerous studies carried out as part of an accelerated postoperative rehabilitation program1,2 have shown the beneficial effect of intravenous lidocaine perioperatively, due to the discovery in recent years of its multiple effects, in particular the reduction of peroperative o...