Nadir Ibrahim
University of Manchester, UK
Title: Quality improvement report examining the effectiveness of postoperative intravenous lidocaine infusions in improving acute postoperative pain
Biography
Biography: Nadir Ibrahim
Abstract
Objective: To improve acute postoperative pain management by introducing a new protocol: Postoperative Intravenous Lidocaine Infusion (IVLI).
Design and Setting: A Quality Improvement (QI) report conducted within the Anesthetic department at Salford Royal Foundation Trust (SRFT)
Method: Current SRFT protocols on perioperative IVLI and postoperative analgesia were reviewed. A systematic literature review was conducted on PubMed database for articles exploring the efficacy of postoperative IVLI published within the past ten years. These were used as the foundation of a new postoperative IVLI protocol.
Result: Ten papers were identified from the literature review. Postoperative IVLI was shown to reduce postoperative pain, opioid consumption, nausea and vomiting and postoperative gastric ileus in three meta-analyses, two systematic reviews and one randomised controlled trial.
Conclusion: This QI report has highlighted postoperative IVLI as an effective and safe method of pain management following surgery. A proposed protocol for postoperative IVLI was developed. Acute postoperative pain management can be further improved from the current protocols.