Abstract
Objective
To describe our experience with intravenous lidocaine (IVL) to manage pain of renal
colic origin in the emergency department (ED).
Methods
A retrospective analysis of all patients presenting with pain of renal colic origin
from the periods of 2014 to 2017 by using the ED electronic medical record database
(Allscripts™).
Results
Forty-four patients received IVL for renal colic over a three-year period. The average
dose of IVL as a primary analgesic was 117.2 mg, and as a rescue was 108 mg. Administration
of IVL resulted in a decrease in overall pain score by 6.3 points (numerical rating
scale), by 7.4 points when IVL was used as a primary analgesic, and by 5.2 points
when IVL was given as a rescue. There were no documented adverse effects.
Conclusion
Intravenous lidocaine has a potential of being used for patients presenting to the
ED with a pain of renal colic origin as a primary analgesic or as a rescue. Although
promising, this therapy will need to be studied in prospective randomized fashion
and larger patients' population with underlying cardiac disease before it can be recommended
for broad use in the ED.
Keywords
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Article Info
Publication History
Published online: July 09, 2018
Accepted:
July 8,
2018
Received in revised form:
July 6,
2018
Received:
June 8,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
