alexa Opioid Resistant Pain Successfully Managed with Magnesium, Lidocaine and Ketorolac in the Post-Anesthesia Care Unit: A Case Series | OMICS International | Abstract
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
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Case Report

Opioid Resistant Pain Successfully Managed with Magnesium, Lidocaine and Ketorolac in the Post-Anesthesia Care Unit: A Case Series

Brandon Alan Van Noord*, Jack Berger and Arash Motamed

Department of Anesthesiology at Keck Medical Center of the University of Southern California, USA

*Corresponding Author:
Brandon A. Van Noord, M.D.
Department of Anesthesiology at Keck Medical Center of the University of Southern California
USA
E-mail: [email protected]

Received date: January 30, 2012; Accepted date: March 13, 2012; Published date: March 16, 2012

Citation: Van Noord BA, Berger J, Motamed A (2012) Opioid Resistant Pain Successfully Managed with Magnesium, Lidocaine and Ketorolac in the Post-Anesthesia Care Unit: A Case Series. J Anesthe Clinic Res 3:196 doi: 10.4172/2155-6148.1000196

Copyright: © 2012 Van Noord BA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Opioid resistant pain in the Post-Anesthesia Care Unit is challenging and often poorly controlled. Post-operative pain greater than 7/10 pain despite 8 mg of IV morphine or equivalent was defined as opioid resistant pain. This case series reports five consecutive patients with opiate resistant pain who were successfully managed with a one-time concomitant IV bolus of 1 gm magnesium, 100 mg lidocaine, and 15 mg ketorolac. The patients were continuously monitored in the PACU. This novel combination produced greater than 50 percent mean pain score reduction with no adverse effects.

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