tailieunhanh - Báo cáo y học: " Parenteral lidocaine for treatment of intractable renal colic: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Parenteral lidocaine for treatment of intractable renal colic: a case series. | Soleimanpour et al. Journal of Medical Case Reports 2011 5 256 http content 5 1 256 JOURNALOF medical LrCASE REPORTS CASE REPORT Open Access Parenteral lidocaine for treatment of intractable renal colic a case series 1 2 3 1 Hassan Soleimanpour Kamaleddin Hassanzadeh Dawood Agha Mohammadi Hassan Vaezi and Robab Mehdizadeh Esfanjani4 Abstract Introduction We report a case series of successful treatment of intractable renal colic using parenteral lidocaine. Case presentation Because of inconsistent responses to standard treatment with opioids and non-steroidal antiinflammatory drugs in patients with renal colic pain we decided to begin a trial of a single intravenous dose of lidocaine approximately mg kg slowly in eight patients with intractable renal colic who were referred to our emergency medicine department. The patients were six men and two women with a mean age at diagnosis of years age range 28 to 42 years . The patients were of Iranian ethnic origin. The patients degree of pain based on Visual Analog Scale score upon entering our emergency medicine department was recorded 10 20 and 30 minutes after lidocaine injection. The patients degree of pain decreased from a mean Visual Analog Scale score SD of 95 confidence interval 95 CI to to a mean Visual Analog Scale score SD of 1 95 CI to before and 30 minutes after lidocaine treatment respectively. Two of eight patients experienced transient mild dizziness and three of eight patients experienced minimal slurring of speech. No patient experienced serious adverse events. Conclusion Parenteral lidocaine treatment can reduce pain dramatically or subtly. Introduction Numerous medications have been utilized for pain relief in patients with renal colic however no medication has yet been found to relieve pain quickly and completely. A variety of drugs are used to treat this condition including anti-spasmodics non-steroidal anti-inflammatory drugs .

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