RT Book, Section A1 HODGMAN, TUDY A2 Cohen, Henry SR Print(0) ID 1112257605 T1 Lidocaine T2 Casebook in Clinical Pharmacokinetics and Drug Dosing YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071628358 LK accesspharmacy.mhmedical.com/content.aspx?aid=1112257605 RD 2024/04/18 AB Lidocaine is a local anesthetic that also has Vaughan Williams classification type IB antiarrhythmic properties. It is indicated for ventricular fibrillation in patients who cannot undergo synchronized cardioversion and are hemodynamically stable who do not require electrical cardioversion. It can also be used for both monomorphic and polymorphic ventricular tachycardias. Lidocaine is considered an alternative to amiodarone as a second-line agent in patients with ventricular tachycardia or pulseless electrical activity who are resistant to electric cardioversion and intravenous epinephrine or vasopressin.1 The use of intravenous lidocaine has decreased with the elimination of lidocaine as the standard of practice for prophylaxis of asymptomatic premature ventricular contractions or nonsustained ventricular tachycardia after acute myocardial infarction.