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Case Reports
Lidocaine Infusion for the Treatment of Headache Associated With Subarachnoid Hemorrhage: A Case Report.
- Fernando Salgado, Sounida Douangpraseuth, John R Dickerson, John W Crowley, and Felecia A Newton.
- From the Department of Anesthesiology, University of Kansas School of Medicine - Wichita, Wichita, Kansas.
- A A Pract. 2022 Mar 23; 16 (3): e01576.
AbstractHeadache after subarachnoid hemorrhage and corresponding craniotomy with aneurysm clipping can be severe and difficult to treat. Currently accepted analgesic therapies are often ineffective at treating the pain without incurring unacceptable side effects. We present an innovative approach wherein intravenous lidocaine infusions were used to successfully treat 2 patients with hyperalgesia refractory to traditional analgesic therapies. Opioid consumption fell to zero for both patients during lidocaine infusions without lidocaine toxicity. Moreover, after discontinuation of lidocaine infusions, both patients reported good pain control using only standard oral medications.Copyright © 2022 International Anesthesia Research Society.
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