Evidence map›Paper›PMID 30987664›Full record

ArticleTrials2019

Evaluation of intravenous lidocaine in head and neck cancer surgery: study protocol for a randomized controlled trial.

Edris Omar, Grégoire Wallon, Christian Bauer, Grégory Axiotis, Cécile Bouix, Jean-Luc Soubirou, Frédéric Aubrun

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02894710 (Intravenous Lidocaine in Carcinologic ENT Surgery), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

NCT02894710 phase3completednot on this map

Intravenous Lidocaine in Carcinologic ENT Surgery: A Randomized Controlled Trial for Evaluation of Opioid Saving Strategy and Chronic Post-surgical Pain

TypeinterventionalSponsorHospices Civils de LyonRan2016 to 2019Enrolled143ConditionsCarcinologic Ear, Nose, and Throat (ENT) SurgeryArmsLidocaine 20mg/ml, Glucose 5% (placebo)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Postoperative analgesic efficacy of perioperative intravenous lidocaine infusion in patients undergoing septorhinoplasty: a prospective, randomized, double-blind study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
    Trial
  3. Observational
  4. Article
  5. 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

7 authors at 2 institutions in 1 country.

Edris OmarDepartment of Anesthesiology and Critical Care, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France. omar_edris@hotmail.com.ORCID http://orcid.org/0000-0003-2210-8090
Grégoire WallonDepartment of Anesthesiology and Critical Care, Centre Léon Bérard, Lyon, France.
Christian BauerDepartment of Anesthesiology and Critical Care, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Grégory AxiotisDepartment of Anesthesiology and Critical Care, Centre Léon Bérard, Lyon, France.
Cécile BouixClinical Research Center, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Jean-Luc SoubirouDepartment of Anesthesiology and Critical Care, Centre Léon Bérard, Lyon, France.
Frédéric AubrunDepartment of Anesthesiology and Critical Care, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Hôpital de la Croix-Rousse · FRCentre Léon Bérard · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain after major head and neck cancer surgery is underestimated and has both nociceptive and neuropathic characteristics. Extended resection, flap coverage, nerve lesions, inflammation, and high-dose opioid administration can also lead to hyperalgesia and chronic postoperative pain. Opioids are frequently associated with adverse events such as dizziness, drowsiness, nausea and vomiting, or constipation disturbing postoperative recovery and extending the length of hospital stay. Patients eligible for major head and neck cancer surgery cannot benefit from full multimodal pain management with locoregional anesthesia. Intravenous lidocaine, investigated in several studies, has been found to decrease acute pain and morphine consumption. Some data suggest also that it can prevent chronic postsurgical pain. Evidence supporting its use varies between surgical procedures, and there is no published study regarding systemic lidocaine administration in major head and neck cancer surgery. We hypothesized that intravenous lidocaine infused in the perioperative period would lead to opioid sparing and chronic postsurgical pain reduction. METHODS/

designA total of 128 patients undergoing major head and neck surgery will be included in this prospective two-center, double-blind, randomized controlled trial. Patients will be randomly assigned to lidocaine or placebo treatment. After induction of general anesthesia, an intravenous lidocaine bolus will be administered (1.5 mg.kg DISCUSSION: Recent evidence suggests that intravenous lidocaine can lead to opioid sparing and chronic postsurgical pain reduction for certain types of surgery. This is the first trial to prospectively investigate the efficacy and safety of intravenous lidocaine in major head and neck cancer surgery.

trial registrationClinicalTrials.gov, NCT02894710 . Registered on 11 August 2016.

Indexed as

Randomized Controlled Trials as TopicAnesthetics, LocalData Interpretation, StatisticalDouble-Blind MethodHead and Neck NeoplasmsHumansInfusions, IntravenousLidocaineOutcome Assessment, Health CarePostoperative PainProspective StudiesAnesthetics, LocalLidocaine

Identifiers

PMID30987664
PMCPMC6466788
OpenAlexW2946946918

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.