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LIGNOCAINE INFUSION FOR CHRONIC PAIN: SERVICE EVALUATION
ESRA Academy. Tameem A. Sep 8, 2016; 138616; 0502 Topic: INTERVENTIONAL TECHNIQUES
Dr. Alifia Tameem
Dr. Alifia Tameem

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Abstract
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Background and Aims:

Dudley Group of Hospitals recently changed from a 5 day inpatient lignocaine infusion protocol to a day case 2 hour infusion protocol as it was financially unable to sustain an inpatient service. We conducted a service evaluation to assess user experience with the new protocol in comparison to that of the previous one

Methods:

The existing patients were assessed with a questionnaire before receiving the new protocol on their experience of the previous protocol. They were then provided with a post procedure follow up questionnaire which they returned at their follow up. For patients who didnt respond at all a second infusion was offered with the same day case protocol


Results:

55 existing patients were offered the new protocol of lignocaine infusion. All except 3 patients received the infusions for fibromyalgia.The average maximum reduction in pain VAS with the previous protocol was 64%. Perceived benefit from the new lignocaine infusion protocol lasted for an average of 75 days compared to 111 with the previous protocol. Only one patient needed the infusion to be stopped due to vomiting but a repeat infusion after 6 weeks was well tolerated by her

Conclusions:

Despite the reduction in infusion length and frequency our patients displayed continued pain relief from lignocaine infusion, whilst at the same time delivering significant cost savings. A cohort of patients preferred it as it was less disruption to their life. The patients either responded well or experienced no change at all in their symptoms. No new patients were added to the existing cohort

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