Nebulized Lidocaine

23 Jan

(repost, but came up again lately, worth a re-visit)

–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

NG tubes are one of the most painful procedures with limited utility, anyways

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 )

Google+ photo

You are commenting using your Google+ 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 )


Connecting to %s

%d bloggers like this: