Evidence map›Paper›PMID 29666908›Full record

SynthesisWorld journal of surgery2018

Intravenous Local Anaesthetic Compared with Intraperitoneal Local Anaesthetic in Abdominal Surgery: A Systematic Review.

Wiremu S MacFater, Weisi Xia, Ahmed Barazanchi, Bruce Su'a, Darren Svirskis, Andrew G Hill

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Wiremu S MacFaterDepartment of Surgery, South Auckland Clinical Campus, University of Auckland, Auckland, New Zealand. wmac043@aucklanduni.ac.nz.
Weisi XiaDepartment of Surgery, South Auckland Clinical Campus, University of Auckland, Auckland, New Zealand.
Ahmed BarazanchiDepartment of Surgery, South Auckland Clinical Campus, University of Auckland, Auckland, New Zealand.
Bruce Su'aDepartment of Surgery, South Auckland Clinical Campus, University of Auckland, Auckland, New Zealand.
Darren SvirskisDepartment of Pharmacy, Grafton Campus, University of Auckland, Auckland, New Zealand.
Andrew G HillDepartment of Surgery, South Auckland Clinical Campus, University of Auckland, Auckland, New Zealand.
University of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionModern perioperative care strategies aim to optimise perioperative care by reducing the body's stress response to surgery. A major facet of optimising an abdominal surgery analgesia programme is using a multimodal opioid sparing approach. Local anaesthetics have shown promise and there has been considerable research into the most effective route for their administration. This review aims to determine if there is a difference in analgesic efficacy between intraperitoneal local anaesthetic (IPLA) and intravenous local anaesthetic (IVLA). MATERIALS AND METHODOLOGY: In concordance with the PRISMA statement, a literature search was conducted to identify randomised control trials that compared IVLA with IPLA in abdominal surgery. The primary outcomes of interest were opioid analgesia requirements and pain score assessed by visual analogue score. Data were extracted and entered into pre-designed electronic spreadsheets.

resultsThis review has identified six papers that compared intravenous lignocaine to intraperitoneal lignocaine. This review showed significantly lower morphine consumption at 4 and 24 h in the intraperitoneal group. There was no significant difference in pain scores.

conclusionFrom the analysis of these studies, intraperitoneal local anaesthetic had an analgesic benefit over intravenous lignocaine with regard to decreased opioid consumption for abdominal surgery. Further research investigating IVL combined with intraperitoneal local anaesthetic is warranted.

Indexed as

Anesthesia, LocalInfusions, ParenteralAdministration, IntravenousAnalgesicsAnalgesics, OpioidAnesthetics, IntravenousAnesthetics, LocalHumansLidocainePain ManagementPostoperative PainRandomized Controlled Trials as TopicAnalgesicsAnalgesics, OpioidAnesthetics, IntravenousAnesthetics, LocalLidocaine

Identifiers

PMID29666908
OpenAlexW2799355107

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.