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CASE REPORT
Year : 2014  |  Volume : 28  |  Issue : 1  |  Page : 42-43

Beneficial effect of intravenous nitroglycerin and lidocaine in severe pain due to acute arterial occlusion


1 Department of Anesthesiology and Pain Medicine, Boali Hospital, Tehran Azad University of Medical Science, Tehran, Iran
2 Department of Anesthesiology and Pain, Rasoul-Akram Hospital, Tehran University of Medical Science, Tehran, Iran

Correspondence Address:
Helen Gharaei
Department of Anesthesiology and Pain Medicine, Boali Hospital, Damavand St, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-5333.128893

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This is a case report of a patient (man, 65 year, 70 kg) with severe abdominal and lower extremity pain. Diagnostic methods including color Doppler ultrasound, computed tomography (CT) with contrast, and CT angiography showed thrombosis in abdominal artery near bifurcation of superior mesenteric artery. His pain did not respond to abdominal thromboembolectomy and intravenous injection of heparin and then opioid and acetaminophen. After continuous infusion of lidocaine and nitroglycerin, pain decrease about 20% and after 48 h, it decreases to 80%. This method may be a good option for pain management of acute ischemic pain due to acute arterial occlusion.


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