Intravenous lidocaine for neuropathic pain: Diagnostic utility and therapeutic efficacy

被引：19
|
作者：
Carroll I. [1 ]
机构：
[1] Stanford University School of Medicine, Palo Alto, CA 94034
来源：
Current Pain and Headache Reports | 2007年 / 11卷 / 1期
关键词：
Lidocaine; Neuropathic Pain; Complex Regional Pain Syndrome; Mexiletine; Mechanical Allodynia;
D O I：
10.1007/s11916-007-0017-7
中图分类号：
学科分类号：
摘要：
Lidocaine is a use-dependent sodium channel blocker that produces analgesia when administered intravenously to patients with neuropathic pain. This article reviews the role and limitations of intravenous lidocaine infusions for neuropathic pain. Lidocaine infusions rarely provide relief that persists significantly beyond the duration of the infusion. Diagnostically, systemic lidocaine may help establish the presence of neuropathic pain and the responsivity to oral sodium channel blockade. However, the data supporting diagnostic infusions remain sparse. Therapeutically, infusions should generally be restricted to patients with neuropathic pain who are unable to take oral medication. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码：20 / 24
页数：4
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