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18). There was no statistically significant difference in the need for rescue analgesics between the two groups (OR 1.45 95% CI 0.82, 2.56 = 41% = 0.2, but on subgroup analysis, the need for rescue analgesics was significantly higher with IV lidocaine in studies on abdominal pain but not for musculoskeletal pain. On meta-analysis, there was no statistically significant difference in the incidence of side-effects between the two study groups (OR 1.09 95% CI 0.59, 2.02 = 48% = 0.78). IV lidocaine can be considered as an alternative