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Continuous intravenous lidocaine in the treatment of paralytic ileus due to severe spinal cord injury
Author(s) -
BAUMANN A.,
AUDIBERT G.,
KLEIN O.,
MERTES P. M.
Publication year - 2009
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2008.01787.x
Subject(s) - medicine , neostigmine , paralytic ileus , anesthesia , lidocaine , ileus , surgery , spinal cord , spinal cord injury , psychiatry
Paralytic ileus is a major concern in the acute phase of spinal cord injury. Classical treatment with neostigmine is often ineffective. Continuous intravenous (i.v.) lidocaine infusion has been previously proposed intra and post‐operatively in order to decrease the duration of post‐operative ileus after abdominal surgery. We report the cases of seven patients suffering from complete paralytic spinal cord injury‐related ileus with colectasy resistant to neostigmine, who were treated by i.v. lidocaine infusion.