Evidence map›Paper›PMID 39537870›Full record

Trial reportJournal of anesthesia2025

The effect of intravenous lidocaine infusion on subarachnoid anesthesia in patients undergoing total knee replacement: a randomised controlled trial.

Amulya Kodkani, Anju R Bhalotra, Rahil Singh, Mona Arya

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of anesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Amulya KodkaniDepartment of Anesthesiology & Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi, 110002, India.
Anju R BhalotraDepartment of Anesthesiology & Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi, 110002, India.
Rahil SinghDepartment of Anesthesiology & Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi, 110002, India. drrahilsingh@gmail.com.ORCID http://orcid.org/0000-0002-3941-1398
Mona AryaDepartment of Anesthesiology & Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi, 110002, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntravenous lidocaine is a non-opioid analgesic adjunct for perioperative pain relief. The aim of our study was to explore whether concurrent administration of intravenous lidocaine prolongs the duration of sensory block during total knee replacement (TKR) under spinal anaesthesia.

methodsThis prospective randomized double blind controlled trial was conducted on 28 patients (14 in lidocaine group and 14 in the control group) undergoing unilateral TKR under spinal anesthesia. In the lidocaine group, intravenous lidocaine 1.5 mg·kg

resultsThe duration of sensory and motor block was longer in the lidocaine group (Mean ± SD; 112.50 ± 5.80 min versus 78.21 ± 9.12 min; p < 0.001 and 237.14 ± 9.14 min versus 215.00 ± 10.12 min; p < 0.001, respectively). Time to requirement of first rescue analgesia was 184.29 ± 9.38 min in the lidocaine group and 127.14 ± 23.35 min in the control group (p < 0.001). VAS scores were lower in the lidocaine group at 4, 8, 12 and 24 h after surgery (p < 0.00001, p < 0.00001, p < 0.00006, p = 0.032, respectively). Requirement of additional analgesia in the first 24 h was higher in the control group. There were no clinical signs to suggest lidocaine toxicity in any patient.

conclusionDuring unilateral TKR under spinal anaesthesia, concurrent use of intravenous lidocaine prolonged sensory block and reduced postoperative analgesic requirements.

Indexed as

Anesthesia, SpinalAnesthetics, LocalArthroplasty, Replacement, KneeLidocaineAgedDouble-Blind MethodFemaleHumansInfusions, IntravenousMaleMiddle AgedPain MeasurementPostoperative PainProspective StudiesAnesthetics, LocalLidocaineAnalgesiaKnee arthroplastyLidocainePainPostoperativeReplacement

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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.