Lidocaine-I've never seen this before

Oct 17, 2009 11:41 AM

by gonzo1

Premium Member

Last night when we intubated a pt with a brain bleed caused by a blow to the head the ED doc had us give lidocaine before the vec and sucs. I have never seen this before. Please share with me why he did this. I need some education.

I'm so confused

Pat_Pat RN · Oct 18, 2009, 12:32 AM

Re: Lidocaine-I've never seen this before

It decreases intracranial pressure. I missed that on the TNCC test.
Check this link:
http://www.google.com/search?hl=en&s...e+intra&aqi=g9

*gonzo1* · Oct 18, 2009, 08:45 AM

Re: Lidocaine-I've never seen this before

awesome info, thanks for responding

*canoehead* · Oct 18, 2009, 10:07 AM

Re: Lidocaine-I've never seen this before

We do this in Nova Scotia for all intubations to decrease arrhythmias.

wtbcrna · Oct 18, 2009, 06:25 PM

Re: Lidocaine-I've never seen this before

Originally Posted by gonzo1

Last night when we intubated a pt with a brain bleed caused by a blow to the head the ED doc had us give lidocaine before the vec and sucs. I have never seen this before. Please share with me why he did this. I need some education.

I'm so confused

Lidocaine is used to blunt the sympathetic repsonse to the intubation (which will also help to not increase ICP). We use it all the time in OR prior to intubation.

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Lidocaine-I've never seen this before

Lidocaine-I've never seen this before

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