u/cuhthelarge

How many people here use IV lidocaine to smoothen their emergence? I had a friend recently tell me that he's started trying it after seeing an attending use it and it has significantly decreased his bucking on emergence? I haven't tried it yet outside of deep extubations so was curious if anyone here has any more experience than me.

Do you worry about total local anesthetic toxic dose if surgeons are using local? Would you avoid it in shorter cases (say induction was less than an hour ago and you gave 1mg/kg for intubation)?