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The risk\u2010benefit ratio of i.v. lidocaine varies with type of surgery and with patient factors such as comorbidity (including pre\u2010existing chronic pain). This consensus statement aims to address three questions. First, does i.v. lidocaine effectively reduce postoperative pain and facilitate recovery? Second, is i.v. lidocaine safe? Third, does the fact that i.v. lidocaine is not licensed for this indication affect its use? We suggest that i.v. lidocaine should be regarded as a \u2018high\u2010risk\u2019 medicine. Individual anaesthetists may feel that, in selected patients, i.v. lidocaine may be beneficial as part of a multimodal peri\u2010operative pain management strategy. This approach should be approved by hospital medication governance systems, and the individual clinical decision should be made with properly informed consent from the patient concerned. If i.v. lidocaine is used, we recommend an initial dose of no more than 1.5\u00a0mg.kg\n                    <jats:sup>\u20101<\/jats:sup>\n                    , calculated using the patient\u2019s ideal body weight and given as an infusion over 10\u00a0min. Thereafter, an infusion of no more than 1.5\u00a0mg.kg\n                    <jats:sup>\u20101<\/jats:sup>\n                    .h\n                    <jats:sup>\u20101<\/jats:sup>\n                    for no longer than 24\u00a0h is recommended, subject to review and re\u2010assessment. Intravenous lidocaine should not be used at the same time as, or within the period of action of, other local anaesthetic interventions. This includes not starting i.v. lidocaine within 4\u00a0h after any nerve block, and not performing any nerve block until 4\u00a0h after discontinuing an i.v. lidocaine infusion.\n                  <\/jats:p>","DOI":"10.1111\/anae.15270","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T14:11:43Z","timestamp":1604412703000},"page":"238-250","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":268,"title":["The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety"],"prefix":"10.1111","volume":"76","author":[{"given":"I.","family":"Foo","sequence":"first","affiliation":[{"name":"Western General Infirmary Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. J. 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