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About Alexis LaPietra, DO

Chair, ACEP Pain Management Section
Medical Director of EM Pain Management
St. Joseph's Healthcare System
14 02, 2018

Intravenous lidocaine for renal colic


intravenous lidocaine for renal colicPain management in the ED has become a balancing act. EPs must continually balance adequate pain management with the risks of opioids prescribing. As providers reach into their pain management toolbox it is always nice to have as many options as possible because one size does not fit all. Specifically for the management of acute renal colic, IV preservative-free (cardiac) lidocaine has been gaining popularity as a potential alternative when opioids are unable to get job done or are contraindicated due to co-morbidities or a history of addiction. Is it safe? Does it work?