Does lidocaine reduce pain intensity during corticosteroid injection? A double-blind randomized controlled equivalence trial
J Hand Surg Eur Vol. 2024 Apr 20:17531934241245036. doi: 10.1177/17531934241245036. Online ahead of print.ABSTRACTOf the strategies considered to limit the discomfort of corticosteroid injection, one is to inject without lidocaine to reduce the total volume and avoid acidity. In a Bayesian trial, adults receiving corticosteroid injections were randomized to receive 0.5 mL of triamcinolone with or without 0.5 mL of lidocaine. Serial analysis was performed until a 95% probability of presence or absence of a 1.0-point difference in pain intensity on the 0-10 Numerical Rating Scale was reached. Injections with lidocaine were a...
Source: Hand Surgery - April 20, 2024 Category: Surgery Authors: Teun Teunis George E Sayegh Amir Fatehi David Ring Gregg Vagner Lee Reichel Source Type: research

Neuropathic pain: Evidence based recommendations
Presse Med. 2024 Apr 17:104232. doi: 10.1016/j.lpm.2024.104232. Online ahead of print.ABSTRACTNeuropathic pain continues to be a significant problem that lacks effective solutions for every single patient. In 2015, international guidelines (NeuPSIG) were published, while the French recommendations were updated in 2020. The purpose of this minireview is to provide an update on the process of developing evidence-based recommendations and explore potential changes to the current recommendations. Primary treatments for neuropathic pain include selective serotonin-norepinephrine reuptake inhibitors (SNRIs) such as duloxetine an...
Source: Presse Medicale - April 19, 2024 Category: General Medicine Authors: Xavier Moisset Source Type: research

Neuropathic pain: Evidence based recommendations
Presse Med. 2024 Apr 17:104232. doi: 10.1016/j.lpm.2024.104232. Online ahead of print.ABSTRACTNeuropathic pain continues to be a significant problem that lacks effective solutions for every single patient. In 2015, international guidelines (NeuPSIG) were published, while the French recommendations were updated in 2020. The purpose of this minireview is to provide an update on the process of developing evidence-based recommendations and explore potential changes to the current recommendations. Primary treatments for neuropathic pain include selective serotonin-norepinephrine reuptake inhibitors (SNRIs) such as duloxetine an...
Source: Presse Medicale - April 19, 2024 Category: General Medicine Authors: Xavier Moisset Source Type: research

Neuropathic pain: Evidence based recommendations
Presse Med. 2024 Apr 17:104232. doi: 10.1016/j.lpm.2024.104232. Online ahead of print.ABSTRACTNeuropathic pain continues to be a significant problem that lacks effective solutions for every single patient. In 2015, international guidelines (NeuPSIG) were published, while the French recommendations were updated in 2020. The purpose of this minireview is to provide an update on the process of developing evidence-based recommendations and explore potential changes to the current recommendations. Primary treatments for neuropathic pain include selective serotonin-norepinephrine reuptake inhibitors (SNRIs) such as duloxetine an...
Source: Presse Medicale - April 19, 2024 Category: General Medicine Authors: Xavier Moisset Source Type: research

Hiccups Should Not Be a Hiccup in Patient Care: Utilizing Inhaled Lidocaine for Intractable Hiccups
1. The learner should obtain a basic understanding regarding the hiccup reflex arc.2. The learner should obtain an understanding of the first line medications used to treat intractable hiccups, but learn that inhaled lidocaine can also be utilized if symptoms are refractory to first line treatments. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Shanup Dalal, Zieanna Chang, Carol Chamberlain Source Type: research

50% efficacy dose of intravenous lidocaine in supressing sufentanil-induced cough in children: a randomised controlled trial
Opioids such as sufentanil are used as anaesthetics due to their rapid action and superior analgesic effect. However, sufentanil induces a huge cough in paediatric patients. In contrast, intravenous (IV) lidoc... (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - April 19, 2024 Category: Anesthesiology Authors: Yang Hu, Ming-cheng Du, Guo-hong Zhu, Xiang Long, Jing-jing Jiang and Yuan Gong Tags: Research Source Type: research

The Pharmacologic Management of Cardiac Arrest
This article covers the current state of evidence for the effectiveness of the vasopressor epinephrine and the combination of vasopressin-steroids-epinephrine and antiarrhythmic medications amiodarone and lidocaine and reviews the role of other med ications such as calcium, sodium bicarbonate, magnesium, and atropine in cardiac arrest care. We additionally review the role of β-blockers for refractory pulseless ventricular tachycardia/ventricular fibrillation and thrombolytics in undifferentiated cardiac arrest and suspected fatal pulmonary em bolism. (Source: Cardiology Clinics)
Source: Cardiology Clinics - April 16, 2024 Category: Cardiology Authors: Amandeep Singh, Megan Heeney, Martha E. Montgomery Source Type: research

Perioperative intravenous lidocaine in thoracoscopic surgery for improved postoperative pain control: a randomized, placebo-controlled, double-blind, superiority trial
CONCLUSIONS: Our results suggest that perioperative intravenous lidocaine administration reduces pain scores after VATS. The beneficial clinical effects are limited. Nevertheless, intravenous lidocaine may be helpful as part of a multimodal analgesia protocol or with patients in whom the use of other analgesics is contraindicated.TRIAL REGISTRATION: ClinicalTrials.gov NCT03677817.PMID:38617784 | PMC:PMC11009578 | DOI:10.21037/jtd-23-1438 (Source: Journal of Thoracic Disease)
Source: Journal of Thoracic Disease - April 15, 2024 Category: Respiratory Medicine Authors: Aljaz Hojski Daniel Bolliger Makhmudbek Mallaev Sandrine Dackam Nikolay Tsvetkov Mark Wiese Tobias Schneider Andreas Lampart Didier Lardinois Source Type: research