Journal article
Efficacy of 5-Day Continuous Lidocaine Infusion for the Treatment of Refractory Complex Regional Pain Syndrome
Pain medicine (Malden, Mass.), v 10(2), pp 401-412
01 Mar 2009
PMID: 19284488
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Chronic regional pain syndrome (CRPS) is a severe pain condition that usually results from an injury or surgical procedure. The pain in CRPS often spreads from the site of injury, and with time becomes refractory to conventional therapy. The present study was undertaken to evaluate the effects of 5-day continuous intravenous lidocaine treatment in patients afflicted with CRPS.
Intravenous lidocaine was administered in an escalating dose schedule to 49 severely affected CRPS patients in a monitored setting over 5 days. Evaluation of pain parameters and other signs and symptoms of CRPS were obtained during the infusion and at 1, 3, and 6 months following therapy.
The majority of patients demonstrated a significant decrease in pain parameters and other symptoms and signs of CRPS. The pain reduction lasted an average of 3 months. Lidocaine may be particularly effective for thermal and mechanical allodynia. Less clinically significant effects were documented on the motor aspects of the syndrome.
Intravenous lidocaine administration titrated to 5 mg/L demonstrated: 1) a significant decrease in mechanical and thermal allodynia for three months, 2) lessened associated inflammatory components of CRPS, and 3) only minimal side effects and no severe complications.
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Details
- Title
- Efficacy of 5-Day Continuous Lidocaine Infusion for the Treatment of Refractory Complex Regional Pain Syndrome
- Creators
- Robert J. Schwartzman - Drexel UniversityMona Patel - Drexel UniversityJohn R. Grothusen - Drexel UniversityGuillermo M. Alexander - Drexel University
- Publication Details
- Pain medicine (Malden, Mass.), v 10(2), pp 401-412
- Publisher
- Oxford Univ Press
- Number of pages
- 12
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Neurology
- Web of Science ID
- WOS:000263910900016
- Scopus ID
- 2-s2.0-62349110292
- Other Identifier
- 991019169706804721
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- Web of Science research areas
- Anesthesiology