Evidence map›Paper›PMID 32533519›Full record

ArticleObesity surgery2020

Assessment of the Effect of Perioperative Venous Lidocaine on the Intensity of Pain and IL-6 Concentration After Laparoscopic Gastroplasty.

Caio Marcio Barros de Oliveira, Lais Maria Gaspar Coelho, José Aparecido Valadão, Ed Carlos Rey Moura, Antônio Augusto Moura da Silva, Roclides Castro de Lima, Milena Karina Coló Brunialti, Reinaldo Salomão, Plinio da Cunha Leal, Rioko Kimiko Sakata

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073846 (Efficacy of Lidocaine-Dexmedetomidine Combination Therapy in Reducing Post-Operative Pain, Inflammatory Response, and Oxidative Stress in Patients Undergoing Bariatric Surgery), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-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.

NCT07073846 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Lidocaine-Dexmedetomidine Combination Therapy in Reducing Post-Operative Pain, Inflammatory Response, and Oxidative Stress in Patients Undergoing Bariatric Surgery

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2025 to 2027Enrolled104ConditionsMorbid Obesity Requiring Bariatric Surgery, Postoperative Pain, Postoperative Pain Management, Postoperative AnalgesiaArmsIntravenous Lidocaine infusion + Standard Anesthesia, Intravenous Dexmedetomidine infusion + Standard Anesthesia, Lidocaine + Dexmedetomidine Combination (LIDEX) + Standard Anesthesia, 0.9 % Saline Placebo + Standard Anesthesia
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Comparison of the effects of perioperative intravenous infusions of esmolol and lidocaine on the quality of postoperative recovery in patients undergoing functional endoscopic sinus surgery: a randomized, double-blind, noninferiority 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 · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
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

10 authors at 2 institutions in 1 country.

Caio Marcio Barros de OliveiraUniversidade Federal do Maranhão, São Luís, Brazil.
Lais Maria Gaspar CoelhoUniversidade Federal do Maranhão, São Luís, Brazil.
José Aparecido ValadãoUniversidade Federal do Maranhão, São Luís, Brazil.
Ed Carlos Rey MouraUniversidade Federal do Maranhão, São Luís, Brazil.
Antônio Augusto Moura da SilvaUniversidade Federal do Maranhão, São Luís, Brazil.
Roclides Castro de LimaUniversidade Federal do Maranhão, São Luís, Brazil.
Milena Karina Coló BrunialtiUniversidade Federal de São Paulo, Rua Botucatu 593, São Paulo, 04023-900, Brazil.
Reinaldo SalomãoUniversidade Federal de São Paulo, Rua Botucatu 593, São Paulo, 04023-900, Brazil.
Plinio da Cunha LealUniversidade Federal do Maranhão, São Luís, Brazil.
Rioko Kimiko SakataUniversidade Federal de São Paulo, Rua Botucatu 593, São Paulo, 04023-900, Brazil. rsakata@unifesp.br.ORCID http://orcid.org/0000-0001-6159-1746
Universidade Federal do Maranhão · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesOpioids are associated with sedation and respiratory depression. The primary objective of this study was to assess pain intensity after gastric bypass with lidocaine. The secondary objective was to assess the IL-6 concentration, consumption of morphine, time to morphine request, time to extubation, and side effects.

methodsSixty patients aged 18 to 60 years, with ASA (American Society of Anesthesiologists) scores of 2 or 3, who underwent bariatric surgery were allocated to two groups. Patients in group 1 were administered lidocaine (1.5 mg/kg) 5 min before the induction of anesthesia, and group 2 was administered 0.9% saline solution in an equal volume. Subsequently, lidocaine (2 mg/kg/h) or 0.9% saline was infused during the entire surgical procedure. Anesthesia was performed with fentanyl (5 μg/kg), propofol, rocuronium, and sevoflurane. Postoperative patient-controlled analgesia was provided with morphine. The following were evaluated: pain intensity, IL-6, 24-h consumption of morphine, time to the morphine request, time to extubation, and adverse effects.

resultsThe lidocaine group had a lower pain intensity than the saline group for up to 1 h, with no differences between groups in IL-6 and time to extubation. The lidocaine group consumed less morphine within 24 h, had a longer time until the first supplemental morphine request, and had a lower incidence of nausea.

conclusionsLidocaine reduced the intensity of early postoperative pain, incidence of nausea, and consumption of morphine within 24 h and increased time to the first morphine request, without reducing the plasma concentrations of IL-6.

Indexed as

GastroplastyLaparoscopyObesity, MorbidAdolescentAdultAnalgesics, OpioidAnesthetics, LocalDouble-Blind MethodHumansInterleukin-6LidocaineMiddle AgedMorphinePain MeasurementPostoperative PainYoung AdultAnalgesics, OpioidAnesthetics, LocalInterleukin-6LidocaineMorphineAnalgesiaGastroplastyInterleukin-6LidocainePostoperative pain

Identifiers

PMID32533519
OpenAlexW3034573978

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.