Evidence map›Paper›PMID 31694684›Full record

Trial reportTrials2019

Effect of intraoperative paravertebral or intravenous lidocaine versus control during lung resection surgery on postoperative complications: A randomized controlled trial.

Francisco De la Gala, Patricia Piñeiro, Almudena Reyes, Carlos Simón, Elena Vara, Lisa Rancan, Luis Javier Huerta, Guillermo Gonzalez, Carmen Benito, Marta Muñoz and 15 more

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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 NCT03905837 (Impact of the Administration of Intravenous or Paravertebral Lidocaine in Continuous Perfusion During the Intraoperative Period of Lung Resection Surgery on the Appearance of Postoperative Complications), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT03905837 phase4completednot on this map

Impact of the Administration of Intravenous or Paravertebral Lidocaine in Continuous Perfusion During the Intraoperative Period of Lung Resection Surgery on the Appearance of Postoperative Complications

TypeinterventionalSponsorFrancisco Andres de la GalaRan2019 to 2021Enrolled156ConditionsLung Diseases, Lung Inflammation, Lung Injury, Acute, Postoperative ComplicationsArmsLidocaine, Remifentanil
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. 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

25 authors at 2 institutions in 1 country.

Francisco De la GalaDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Patricia PiñeiroDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. bagullo76@hotmail.com.
Almudena ReyesDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Carlos SimónDepartment Thoracic Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Elena VaraBiochemical Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
Lisa RancanBiochemical Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
Luis Javier HuertaDepartment Thoracic Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Guillermo GonzalezDepartment Thoracic Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Carmen BenitoDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Marta MuñozDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Pilar GrandeDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Sergio D ParedesBiochemical Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
Pablo Tomas AznarDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Alvaro PerezDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
David MartinezDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Fernando HigueroDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
David SanzDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Juan Pedro De MiguelDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Patricia CruzDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Luis OlmedillaDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Elena Lopez GilDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Patricia DuqueDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Guillermo Sanchez-PedrosaDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Mayte ValleDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Ignacio GaruttiDepartment Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID http://orcid.org/0000-0001-8284-2903
Hospital General Universitario Gregorio Marañón · ESUniversidad Complutense de Madrid · ES

Funding

Instituto de Salud Carlos III. Ministerio de Sanidad España 99.220 Euros
6 · The paper itself

Abstract

backgroundUse of minimally invasive surgical techniques for lung resection surgery (LRS), such as video-assisted thoracoscopy (VATS), has increased in recent years. However, there is little information about the best anesthetic technique in this context. This surgical approach is associated with a lower intensity of postoperative pain, and its use has been proposed in programs for enhanced recovery after surgery (ERAS). This study compares the severity of postoperative complications in patients undergoing LRS who have received lidocaine intraoperatively either intravenously or via paravertebral administration versus saline. METHODS/

designWe will conduct a single-center randomized controlled trial involving 153 patients undergoing LRS through a thoracoscopic approach. The patients will be randomly assigned to one of the following study groups: intravenous lidocaine with more paravertebral thoracic (PVT) saline, PVT lidocaine with more intravenous saline, or intravenous remifentanil with more PVT saline. The primary outcome will be the comparison of the postoperative course through Clavien-Dindo classification. Furthermore, we will compare the perioperative pulmonary and systemic inflammatory response by monitoring biomarkers in the bronchoalveolar lavage fluid and blood, as well as postoperative analgesic consumption between the three groups of patients. We will use an ANOVA to compare quantitative variables and a chi-squared test to compare qualitative variables. DISCUSSION: The development of less invasive surgical techniques means that anesthesiologists must adapt their perioperative management protocols and look for anesthetic techniques that provide good analgesic quality and allow rapid rehabilitation of the patient, as proposed in the ERAS protocols. The administration of a continuous infusion of intravenous lidocaine has proven to be useful and safe for the management of other types of surgery, as demonstrated in colorectal cancer. We want to know whether the continuous administration of lidocaine by a paravertebral route can be substituted with the intravenous administration of this local anesthetic in a safe and effective way while avoiding the risks inherent in the use of regional anesthetic techniques. In this way, this technique could be used in a safe and effective way in ERAS programs for pulmonary resection.

trial registrationEudraCT, 2016-004271-52; ClinicalTrials.gov, NCT03905837 . Protocol number IGGFGG-2016 version 4.0, 27th April 2017.

Indexed as

Anesthetics, LocalDouble-Blind MethodEnhanced Recovery After SurgeryHumansInfusions, IntravenousLidocainePerioperative CarePneumonectomyPostoperative ComplicationsThoracoscopyAnesthetics, LocalLidocaineLidocaineLung resection surgeryPostoperative complicationsPostoperative pulmonary complications

Identifiers

PMID31694684
PMCPMC6836654
OpenAlexW2988064261

What OpenQuestion holds

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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.