RESUMEN
BACKGROUND: The intravenous administration of lidocaine for patients with chronic neuropathic pain is well documented in the literature. However, little is known about the role of the nurse caring for patients receiving the infusion. AIM: The purpose of this systematic review was to examine and describe common side effects associated with the intravenous administration of lidocaine to patients with chronic neuropathic pain and outline nursing care described in an effort to develop evidence-based protocols for care. METHOD: A comprehensive search of databases was completed and yielded eleven (n = 11) articles and one care protocol for analysis. RESULTS: Evidence was appraised and findings suggest intravenous lidocaine has a low risk of causing adverse events, however patients should be monitored closely. CONCLUSIONS: Nursing care focuses on pain assessment, close observation and intervention if neurological changes occur.
Asunto(s)
Lidocaína/administración & dosificación , Neuralgia/tratamiento farmacológico , Atención de Enfermería/normas , Administración Intravenosa , Anestésicos Locales/administración & dosificación , Anestésicos Locales/normas , Anestésicos Locales/uso terapéutico , Humanos , Lidocaína/normas , Lidocaína/uso terapéuticoRESUMEN
The purpose of this study was to describe the therapeutic effectiveness/pain relief of moderate-dose lidocaine infusions in patients with chronic neuropathic pain. Retrospective reviews of medical records were conducted for 40 patients referred to a midwestern pain clinic for management of intractable neuropathic pain despite use of multiple medications and treatment modalities. Descriptive statistics were used to summarize patients' demographic data, lidocaine dosing and infusion rate, daily opioid intake, adjuvant medication use, and medication allergies and intolerances. Paired samples t test was used to determine significance between preinfusion and postinfusion pain scores. A significant decrease in pain levels (P < .001) after infusion was found.