Treatment of Renal colic: Use of intravenous Lidocaine
Journal Title: International Journal Of Research In Medicine - Year 2017, Vol 6, Issue 4
Abstract
BACKGROUND AND OBJECTIVES: Patients suffering from renal colic presents to the ED with intractable pain. Common treatment of renal colic includes NSAIDS and Opiates. Intravenous lidocaine has been shown to have a safe medication profile when used at low doses and is effective in the treatment of renal colic. METHODS: This was a cross-sectional study. Patients with diagnosed renal colic pain were included. Patients were given intravenous lidocaine in a dose of 1.5mg/kg. RESULTS: 116 patients were enrolled in the study. In our study, 68 (58.62%) patients had right sided lumbar region pain and rest 48 (41.38%) had left lumbar region pain. 68 (58.62%) patients had right sided lumbar region pain and rest 48 (41.38%) had left lumbar region pain. Pain was radiating to groin in 88 (75.86%) patients and to genetelia in 37 (31.89%) patients. Costovertebral angle tenderness was found in 103 (88.79%) patients. 98 (84.48%) patients had pain relief within 60 minutes of injection lidocaine. 18 (15.52%) patients had no pain relief at 60 minutes of injectable lidocaine and were given rescue analgesics. CONCLUSION: Local anaesthetics halt impulse initiation and transmission process in the axons, by blocking voltage-dependent sodium channels. 90 % patients enrolled in the study by soleimanpour etal., responded to lidocaine. In our study, 84.48% patients had pain relief from lidocaine.
Authors and Affiliations
Chirag J Patel, Jigarkumar B Gosai, Binit N Jhaveri, Divyesh Kalariaya, Utsav N Parikh
Keywords
Related Articles
- EP ID EP441449
- DOI -
- Views 152
- Downloads 0
Histopathological Evaluation of Oral Cavity Lesions – 162 Cases
BACKGROUND AND OBJECTIVES: Objectives of this study was to evaluate the histopathology of oral cavity lesions and their incidence in relation to age group, gender, location and risk factors. METHODS: The present study wa...
Gall Bladder Wall Thickness as a Marker of Portal Hypertension in Patients of Alcoholic Cirrhosis of Liver
BACKGROUND AND OBJECTIVES: One of the major complications of cirrhosis is the occurrence of Portal Hypertension, which can lead to bleeding from Esophageal Varices, Hepatic Encephalopathy, Ascites, Spontanoeus Bacterial...
Role of Diagnostic Laparoscopy in chronic Abdominal Pain
BACKGROUND: Chronic Abdominal Pain is a common problem in hospital. Many patients presenting with chronic Abdominal Pain had no specific etiological diagnosis at end of their Diagnostic workup.with introduction of lapros...
Role of antibiotics in postoperative period in planned surgeries
BACKGROUND: Surgical Site Infections (SSI) are the third most frequently reported nosocomial infections and account for 14 to 16% of all nosocomial infections among hospitalized patients. Planned Surgeries performed in...
Study of Clinical Profile of 70 Cases of Hypertension in Pregnancy
BACKGROUND AND OBJECTIVES: Hypertensive disorders of pregnancy & their complications are one of the most common cause of maternal morbidity in world. In India the incidence of Hypertension is reported to be 8-10% of the...