Evidence map›Paper›PMID 40326715›Full record

Trial reportPaediatric anaesthesia2025

Perioperative Intravenous Lidocaine Infusion Therapy as an Adjunct to Multimodal Analgesia for Adolescent Idiopathic Scoliosis Surgical Correction: A Double-Blind Randomized Controlled Trial.

Jessica Luo, Nicholas West, Samantha Pang, Aanisah Golam, Erin Adams, Matthias Görges, Roxane R Carr, Firoz Miyanji, Gillian R Lauder

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Paediatric anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04069169 (Perioperative Multimodal Analgesia Including Intravenous Lidocaine Infusion for Pain Management Following Idiopathic Scoliosis Correction Surgery in Children), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04069169 phase3completednot on this map

Perioperative Multimodal Analgesia Including Intravenous Lidocaine Infusion for Pain Management Following Idiopathic Scoliosis Correction Surgery in Children

TypeinterventionalSponsorUniversity of British ColumbiaRan2019 to 2024Enrolled48ConditionsScoliosis, Adolescence, Anesthesia Recovery PeriodArmsLidocaine, Saline Solution
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Postoperative pain management in children.Frontiers in pediatrics · 2026
    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

9 authors.

Jessica LuoDepartment of Anesthesia, BC Children's Hospital, Vancouver, British Columbia, Canada.ORCID 0009-0004-2953-5305
Nicholas WestDepartment of Anesthesia, BC Children's Hospital, Vancouver, British Columbia, Canada.ORCID 0000-0001-8382-5136
Samantha PangDepartment of Anesthesia, BC Children's Hospital, Vancouver, British Columbia, Canada.
Aanisah GolamDepartment of Anesthesia, BC Children's Hospital, Vancouver, British Columbia, Canada.
Erin AdamsPharmacy, BC Children's and Women's Hospital, Vancouver, British Columbia, Canada.
Matthias GörgesResearch Institute, BC Children's Hospital, Vancouver, British Columbia, Canada.ORCID 0000-0003-2193-178X
Roxane R CarrResearch Institute, BC Children's Hospital, Vancouver, British Columbia, Canada.
Firoz MiyanjiResearch Institute, BC Children's Hospital, Vancouver, British Columbia, Canada.
Gillian R LauderDepartment of Anesthesia, BC Children's Hospital, Vancouver, British Columbia, Canada.

Funding

BC Children's HospitalBioTalent CanadaUniversity of British Columba Faculty of Medicine
6 · The paper itself

Abstract

backgroundPosterior spinal instrumentation and fusion is a common surgical correction for adolescent idiopathic scoliosis. Preventative multimodal analgesia, including opioids, is required to minimize postoperative pain, but opioids are associated with dose-dependent side effects that may disrupt recovery.

aimsWe hypothesized that the addition of 48-h perioperative intravenous lidocaine therapy to a multimodal analgesia regimen would reduce morphine utilization.

methodWe conducted a double-blinded randomized controlled trial in 10-19 years old, ASA I-III, undergoing single-stage scoliosis correction. Participants were randomly allocated to the Intervention group (intravenous lidocaine 1 mg kg

resultsData were available from 38 participants: 32 (84%) female; median (IQR) age 16.3 (14.9-17.2) years, with curve magnitude (Cobb angle) 62 (56-70) degrees. The 48-h morphine utilization did not differ between groups: Intervention median (IQR) 0.86 (0.73-1.05) mg kg

conclusionsWe found no evidence to support the adjunctive use of 48-h perioperative intravenous lidocaine therapy in adolescents undergoing scoliosis correction in which effective multimodal analgesia was adopted.

trial registrationClinicalTrials.gov identifier: NCT04069169.

Indexed as

AnalgesiaAnesthetics, LocalLidocainePerioperative CarePostoperative PainScoliosisAdolescentAnalgesics, OpioidChildDouble-Blind MethodFemaleHumansInfusions, IntravenousMaleMorphinePain MeasurementAnalgesics, OpioidAnesthetics, LocalLidocaineMorphineadolescentlidocaineopioid analgesicsorthopedic procedurespostoperative painscoliosis

Identifiers

PMID40326715
PMCPMC12149479

What OpenQuestion holds

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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.