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Is There Still a Place for Lidocaine in the (Postoperative) Management of Colics? | LitMetric

Is There Still a Place for Lidocaine in the (Postoperative) Management of Colics?

Vet Clin North Am Equine Pract

Equine Surgery, University of Florida, College of Veterinary Medicine, Large Animal Clinical Sciences, PO Box 100136, Gainesville, FL 32610, USA. Electronic address:

Published: August 2019

AI Article Synopsis

Article Abstract

Intravenous lidocaine is widely used to prevent or treat postoperative ileus in horses. Clinical studies that support this approach are flawed and contradicted by others. Also, physical obstruction could be more important in causing postoperative reflux than postoperative ileus in the horse. The antiinflammatory properties of lidocaine and the role of inflammation from intestinal handling in the genesis of postoperative reflux are questionable. Because of cost and questionable efficacy of lidocaine, a well-designed clinical trial is required to support its continued use. However, lidocaine could be given to provide or enhance analgesia in selected cases with postoperative colic.

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Source
http://dx.doi.org/10.1016/j.cveq.2019.03.003DOI Listing

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