PLEASE NOTE : This is a development system.
For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
You are here : Home > PAD Profile : Lidocaine - Pain relief in Rib fracture
PAD Profile : Lidocaine - Pain relief in Rib fracture
Brand Names Include :
Versatis
Traffic Light Status
Status 1 of 1.
Guidelines
No guidelines returned.
Other Drugs
No drugs returned.
Other Indications
- Post herpetic neuralgia
- Arrhythmias
- Mucositis - chemotherapy / radiotherapy induced
- Local anaesthesia
- Local anaesthesia
- Local anaesthesia
Additional Documents
No additional documents returned.
Committee Recommendations
Date
Committee Name
Narrative
05 June 2024
SASH DTC
Indication: Rib fracture (off-label). Approved for use on advice of pain team, ICU, anaesthetic, surgical, orthopaedic and ED consultants only.
It is indicated in the following situations:
- First line for elderly patients (age >65) eg those with high risk systemic side-effects from opiates, dementia and delirium, falls causing chest trauma.
- First line for patients with a high chest injury score prior to waiting for regional infusion via CEPOD theatre if likelihood of delays.
- First line for patients not suitable for regional procedure eg dementia with aggression, anterior/ sternal fractures or high risk due to anticoagulation therapy.
- Second line for physically well patients whose pain is not well controlled with other analgesia.
- First line for patients where opioids are not appropriate or need to be reduced to reduce risk of respiratory depression and other side effects.
Supply for maximum of 2 weeks
Associated BNF Codes
15. Anaesthesia
15.02.01. Local anaesthetics