Evidence map›Paper›PMID 40831313›Full record

ArticleAnnals of medicine2025

Intravenous lidocaine as an adjuvant to propofol sedation for elderly patients undergoing same-visit bidirectional endoscopy: protocol for a multicenter randomized controlled trial.

Ying Liu, Nan Song, Jing-Tao Zhang, Jing Yan, Ke Peng, Hong Liu, Xi-Sheng Shan, Fu-Hai Ji

Abstract readClinical Trial Protocol
In one paragraph

Article in Annals of medicine, 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. 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

8 authors.

Ying LiuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Nan SongDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Jing-Tao ZhangDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Jing YanDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Ke PengDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.ORCID 0000-0003-2879-1759
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, California, USA.
Xi-Sheng ShanDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.ORCID 0000-0003-4779-1906
Fu-Hai JiDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, China.ORCID 0000-0001-6649-665X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSame-visit bidirectional endoscopic procedures under sedation are frequently performed in elderly patients. However, the optimal sedation regimen for elderly patients remains uncertain. This study seeks to evaluate the hypothesis that intravenous lidocaine, when used as an adjunct to propofol sedation, reduces the incidence of sedation-related adverse events during these procedures.

methodsThis multicenter, randomized, double-blind, placebo-controlled trial will enroll 648 elderly patients scheduled for same-visit bidirectional endoscopy under sedation at four hospitals in China. Participants will be randomized in a 1:1 ratio to receive either intravenous lidocaine or normal saline (placebo), stratified by study center ( DISCUSSION: We hypothesize that adjunctive lidocaine with propofol-based sedation will reduce the incidence of intraoperative desaturation and hypotension in elderly patients undergoing same-visit bidirectional endoscopy. The findings will contribute to optimizing sedation strategies in this vulnerable population.

trial registrationChinese Clinical Trial Registry (ChiCTR2400087583).

Indexed as

EndoscopyHypnotics and SedativesLidocaineProcedural SedationPropofolAdministration, IntravenousAgedAged, 80 and overAnesthetics, IntravenousAnesthetics, LocalChinaDouble-Blind MethodFemaleHumansMaleMulticenter Studies as TopicAnesthetics, IntravenousAnesthetics, LocalHypnotics and SedativesLidocainePropofolSufentanilbidirectional endoscopydesaturationhypotensionLidocainepropofol

Identifiers

PMID40831313
PMCPMC12369516

What OpenQuestion holds

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Registered trials

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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.