Webaug 31, 2010 · anecdotal experience and published literature support the effectiveness of the lidocaine injection prior to io fluid infusion to control the pain. 8—10 the dosage. Webthe recommended first iv/io dose of lidocaine for patients in cardiac arrest with ventricular fibrillation (vf) or pulseless ventricular tachycardia (pvt) that is unresponsive to defibrillation is 1 to 1. 5 mg/kg. The american heart association (aha) guidelines for. Max total dose 3 mg/kg. Webdoses range from 0. 5 to 0. 75 mg/kg and up to 1 to 1. 5mg/kg. Webwhat is the recommended first iv/io dose of lidocaine in pts in cardiac arrest with vf/pvt that is unresponsive to defibrillation?