Abstract
Paralytic ileus is a major concern in the acute phase of spinal cord injury. Classical treatment with neostigmine is often ineffective. Continuous intravenous (i.v.) lidocaine infusion has been previously proposed intra and post‐operatively in order to decrease the duration of post‐operative ileus after abdominal surgery. We report the cases of seven patients suffering from complete paralytic spinal cord injury‐related ileus with colectasy resistant to neostigmine, who were treated by i.v. lidocaine infusion.

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