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Research ArticleOPIOID STEWARDSHIP

An Evidence-Based Opioid-Free Anesthetic Technique to Manage Perioperative and Periprocedural Pain

Philip G. Boysen, Marisa M. Pappas and Bryan Evans
Ochsner Journal June 2018, 18 (2) 121-125; DOI: https://doi.org/10.31486/toj.17.0072
Philip G. Boysen II
1Department of Anesthesiology, Ochsner Clinic Foundation, ,
2The University of Queensland School of Medicine, Ochsner Clinical School, ,
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  • For correspondence: pboysen@ochsner.org
Marisa M. Pappas
1Department of Anesthesiology, Ochsner Clinic Foundation, ,
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Bryan Evans
1Department of Anesthesiology, Ochsner Clinic Foundation, ,
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    Figure. The diagram shows the metabolism of lidocaine and the comparative potency of active metabolites.

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    Table. Dose-Dependent Effects of Lidocaine
    Plasma Level, μg/mLEffect
    1-5Analgesia
    >5-10Circumoral numbness
    Tinnitus
    Skeletal muscle twitching
    Hypotension
    Myocardial depression
    >10-15Unconsciousness
    Seizures
    >15-25Apnea
    Coma
    >25Cardiovascular collapse
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Ochsner Journal: 18 (2)
Ochsner Journal
Vol. 18, Issue 2
Jun 2018
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An Evidence-Based Opioid-Free Anesthetic Technique to Manage Perioperative and Periprocedural Pain
Philip G. Boysen, Marisa M. Pappas, Bryan Evans
Ochsner Journal Jun 2018, 18 (2) 121-125; DOI: 10.31486/toj.17.0072

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An Evidence-Based Opioid-Free Anesthetic Technique to Manage Perioperative and Periprocedural Pain
Philip G. Boysen, Marisa M. Pappas, Bryan Evans
Ochsner Journal Jun 2018, 18 (2) 121-125; DOI: 10.31486/toj.17.0072
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  • Article
    • Abstract
    • INTRODUCTION
    • INTRAVENOUS ANESTHETIC AGENTS
    • OPIOID-FREE ANESTHETIC AGENTS
    • AN OPIOID-FREE ANESTHETIC PRESCRIPTION
    • OPIOID-FREE ANESTHETIC CASES
    • CONCLUSION
    • ACKNOWLEDGMENTS
    • REFERENCES
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More in this TOC Section

  • Building a Bridge Between Primary and Perioperative Care: Addressing the Challenges of Perioperative Buprenorphine Maintenance and Postdischarge Therapy
  • Reducing Opioid Prescribing Rates in Emergency Medicine
Show more Opioid Stewardship

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Keywords

  • Anesthesia
  • balanced anesthesia
  • dexmedetomidine
  • lidocaine
  • opioid-related disorders
  • perioperative care

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