Nebulized Lidocaine

26 Oct

–not a ton of evidence for use, but sounds cool, probably safe (in the appropriate non-toxic dose)
–reminder: max dose of lidocaine (without epinephrine) = 4.5mg/kg

–some benefit in daily long-term therapy for asthma, but doesn’t apply to us in the ED
–lidocaine can cause bronchospasm in asthmatics, so one study pretreated with albuterol
–one study’s sample dose: 1ml of 1% lido in 4 ml NS
–may be useful for cough suppression

–apparently, not much proof that it helps or makes it less painful

Reference(s): asthma long-term, cough suppression, more cough suppression, ng tube, more ng tube

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: