Evidence map›Paper›PMID 39939909›Full record

Trial reportBMC anesthesiology2025

Effect of intravenous lidocaine on Ciprofol dose in patients undergoing painless gastrointestinal endoscopy: a double-blinded, randomized, controlled trial.

Xinyu Cao, Guangli Zhu, Chongya Yang, Bin Wang, Yang Ang, Kangli Hui, Jingwei Xiong, Jiejie Zhou, Qiang Sun, Manlin Duan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Xinyu CaoDepartment of Anesthesiology, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Guangli ZhuDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Chongya YangDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Bin WangDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Yang AngDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Kangli HuiDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Jingwei XiongDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Jiejie ZhouDepartment of Anesthesiology, Jinling Hospital, Nanjing, Jiangsu, China.
Qiang SunDepartment of Anesthesiology, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. njsunq@sina.com.
Manlin DuanDepartment of Anesthesiology, Nanjing Tianyinshan Hospital, The First Affiliated Hospital of China Pharmaceutical University, Nanjing, Jiangsu, China. dml1200@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCiprofol (CIP) for procedural sedation and analgesia (PSA) for painless gastrointestinal endoscopy (GE) can cause respiratory or cardiovascular complications. The literature suggests that intravenous (IV) lidocaine infusion can alleviate visceral pain and enhance humans' ventilator response to CO

methodsThis randomized placebo-controlled trial included 40 patients undergoing GE. After CIP titration for unconsciousness, patients in group L were given IV lidocaine (1.5 mg/kg bolus dose, then a 2 mg/kg/h continuous infusion); the same volume saline as placebo was given for N group patients. The primary endpoint was the required CIP dose. Secondary endpoints were: endoscopic examination time, awakening time, post-anesthesia care unit (PACU) discharge time, pain and fatigue after awakening, adverse events, and endoscopist's and patient's satisfaction.

resultsBoth cohorts had comparable demographic characteristics. Group L's CIP consumption was decreased by 23.0% than the N group (47.38 ± 7.45 mg vs. 61.50 ± 9.44 mg, respectively, p < 0.001). Awakening time (P=0.002), PACU discharge time (P < 0.001), pain (P = 0.008), and fatigue (P = 0.004) after awakening were also reduced in group L. Furthermore, group L had higher satisfaction scores than group N (P = 0.017). No marked difference was identified in the incidence of unfavorable effects (P > 0.05 for all).

conclusionsLidocaine IV infusion caused a 23.0% reduction in CIP requirements during GE. Furthermore, post-endoscopic pain and fatigue were also improved, thus suggesting that lidocaine is an efficient therapeutic option.

trial registrationThis trial has been submitted to the Chinese Clinical Trial Registry (registration number: ChiCTR2300069868, registration date: 28/03/2023).

Indexed as

Anesthetics, LocalEndoscopy, GastrointestinalLidocaineAdultAgedCyclopropanesDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansInfusions, IntravenousMaleMiddle AgedPatient Satisfaction(2-(1R)-1-cyclopropyl)ethyl-6-isopropyl-phenolAnesthetics, LocalCyclopropanesLidocaineCiprofolIntravenous lidocainePainless gastrointestinal endoscopy

Identifiers

PMID39939909
PMCPMC11818029

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.