lidocaine

Intravenous lidocaine for pain management

Jacyntha Sterling's picture

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1. Does your facility permit intravenous lidocaine for pain management?
2. How is it dosed/provided?
3. What kind of monitoring is required?
4. Does it have any formulary restrictions?

Some prescribers have expressed interest in intravenous lidocaine as an opioid alternative in some emergency department patients and some inpatients. Although this has been evaluated in some clinical trials, this indication is currently not listed as a use in our primary drug information/formulary reference.

Lidocaine as a diluent for IM Ceftriaxone Injections in Pediatric Patients

Emily K D'Anna's picture

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Hello!

Does your organization have an age or weight limit for which you would NOT reconstitute IM ceftriaxone with lidocaine?

If you have restrictions in place, are they the same in both the inpatient and outpatient/ambulatory settings? How do you enforce any established practices (policy, pharmacy, CPOE, etc.)?

Any commentary or experience would be much appreciated! Thanks in advance!
Emily

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