Capote GG, Labrada TDA, Fernández LR, Tarancón SIA, Silveira GCR

Language: Spanish
References: 0
Page: 650-660
PDF size: 102.30 Kb.

ABSTRACT

The use of intravenous lidocaine for the control of postoperative pain has gained interest in recent years. Its application in the perioperative period at low doses and similar to those used for the prophylaxis of arrhythmias, reduces pain and opioid consumption in the postoperative period. The present investigation was carried out with the objective of describing the efficacy of the use of lidocaine in continuous intraoperative infusion to achieve a decrease in pain and postoperative complications. We describe the clinical response of a series of 17 cases of patients operated on oncological abdominal surgery who were given continuous infusion of lidocaine. These patients were evaluated for pain intensity with the visual analogue scale. This was applied at 30 minutes, 2, 6, 12 and 24 hours after the operation. The presence of intraoperative and postoperative complications was evaluated. 58 % of the patients were male. A mild to moderate intensity of pain was achieved, with the need to administer only 6 tramadol patients in the postoperative period. The infusion of intraoperative lidocaine is an option in patients in whom the administration of opioids is unfavourable.