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IV Lignocaine
International Consensus Statement Guidelines 20201
- Initial bolus of 1.5mg.kg-1 as infusion over 10 minutes
- Then infusion 1.5mg.kg-1.hr-1
- should not be used at the same time as other local anaesthetic interventions
- use ideal body weight for dose calculation
- males: height(cm) – 100
- females: height(cm) – 105
- should not be used in patients < 40kg
- infusion rate should not exceed 120mg.h-1
- Intralipid must be available
- IV lignocaine should not be used at the same time as other local anaesthetic interventions
- Intravenous lidocaine should not be started within 4 h of any nerve or fascial plane block, or infiltration of laparoscopic port sites.
- No nerve or fascial plane blocks should be performed until 4 h after completion of an i.v. lidocaine infusion.
- Boluses of local anaesthetic must not be given into wound catheters or epidural catheters until 4 h after completion of an i.v. lidocaine infusion.
- Infusions (without boluses) through wound or epidural catheters may be started 30 min after an infusion of i.v. lidocaine has been stopped.