The use of atypical analgesics by intravenous infusion for acute pain: evidence base for lidocaine, ketamine and magnesium

Publication date: Available online 3 July 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): David Hutchins, Mark RockettAbstractAtypical analgesics include antiepileptics and other membrane stabilizers (lidocaine and mexilitine), antidepressants, alpha-2-noradrenergic agonists, N-methyl-d-aspartate (NMDA) antagonists, corticosteroids and cannabinoids. This review will focus on three drugs commonly infused as intravenous co-analgesics. We will review the theoretical mechanisms of action, efficacy and clinical effectiveness of lidocaine, ketamine and magnesium. The evidence base supporting their use has expanded in recent years and is discussed below.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research