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
2012 Journal of Anesthesia & Clinical Research  
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
more » ... his novel combination produced greater than 50 percent mean pain score reduction with no adverse effects.
doi:10.4172/2155-6148.1000196 fatcat:lsdbliqsvfgfzffesrv2tt7wbe