1. Lidocaine infusion supplements general anesthesia and improves analgesia. Lidocaine has been used to supplement general anesthesia for over 50 years (1). It has a MAC sparing effect that allows reduction of other anesthetic agents in a balanced anesthetic technique (1). Lidocaine infusions improve pain scores in burn patients and provide sufficient analgesia without the addition of an opioid analgesic (3). Its use is well established in chronic neuropathic and ischemic pain (6,7). Over the last decade, its use in the management of acute pain and pre-emptive analgesia has increased. Studies demonstrating improved pain scores with movement and at rest in major abdominal surgeries and radical retropubic prostatectomy have been published (2,5,8).