How does lidocine infusions work
For those writing your providers asking for continuous lidocaine infusions, here is a template to work with. I would also suggest writing the president of you hospitals and tell them you know it's their mission to keep care local so can they help you find a provider willing to think outside the box and save your life, your spouse life our your child's life. That is how I finally was able to get my husband treated.Dear Dr.There is a case study of a provider administering a continuous lidocaine infusion in the ICU to a boy suffering with Erythromelalgia followed by Mexilitine outpatient. Since then there have been several patients treated by continuous lidocaine infusions until pain free for 72 hours and then weaned off the lidocaine and started on Mexilitine so the sodium channels remain blocked with great success. Dr. Gerald Williams at St. Cloud Hospital treated Ryan Junes 12/2016 who has primary Erythromelalgia (EM) with the SCN9A gene followed by Mexilitine and he remains pain free. Dr. Severnak at the same hospital treated Dennis Junes with secondary 12/2017 with continuous lidocaine for 8 days followed by Mexilitine and he remains pain free. I ask that you review these articles and videos and consider treating me with a continuous lidocaine infusion.
Article on boy treated:
Article on continuous lidocaine infusion treated in CRPS:https://www.ncbi.nlm.nih.gov/m/pubmed/19284488/
Here’s the link to Ryan's video on YouTube.
Dennis Junes news story:http://www.kare11.com/video/news/battling-man-on-fire-syndrome/89-2846192
For Dennis:Lidocaine 2grams in D5W 500 mls was used. His initial dose was 0.6 mg/min. They increased his dose by 0.6 mg/min every 6 hours until he was at 3.0 mg/min (45mls an hour) and then ran it until he was pain free for 72 hours. Once he was pain free for the 72 hours they started to wean his lidocaine by 0.6mg every 6 hours and added in Mexilitine 150 mg three times a day. (He is now at 400mg TID)They did lidocaine levels that ranged from 3.6-4.5 when at the 3.0mg dose. It took 4-5 days to bring his pain down so he was admitted for 8 days.