Evidence map›Paper›PMID 41031796›Full record

Trial reportPain management2025

Effect of adding metoclopramide to lidocaine on post-surgery pain in lower abdominal operations.

Masoud Saadat Fakhr, Zahra Pakdaman, Kiana Rezvanfar, Reza Shah Hosseini, Zahra Amini, Koosha Amiri, Mahnaz Narimani Zamanabadi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Masoud Saadat FakhrFaculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.ORCID 0009-0004-8104-6824
Zahra PakdamanFaculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.ORCID 0000-0003-1003-1727
Kiana RezvanfarFaculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.ORCID 0009-0004-8409-6712
Reza Shah HosseiniMedical Student, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.ORCID 0009-0009-4853-8794
Zahra AminiFaculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.ORCID 0000-0003-1694-2505
Koosha AmiriFaculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.ORCID 0000-0003-1056-0661
Mahnaz Narimani ZamanabadiDepartment of Anesthesiology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.ORCID 0009-0008-1899-4951

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective postoperative pain management remains a critical challenge, particularly in lower abdominal surgeries where multimodal approaches are underexplored. This study aimed to evaluating the efficacy of this combination in reducing pain and analgesic requirements.

methodsIn this double-blind, randomized controlled trial, 59 patients undergoing elective lower abdominal surgery were randomly assigned to receive either subcutaneous metoclopramide plus lidocaine or lidocaine alone after surgery. Postoperative pain scores were assessed at 1, 6, 12, and 24 hours using the Visual Analog Scale (VAS), and analgesic consumption was recorded over the first 24 hours.

results59 patients (mean age: 41.8 ± 11.8 years; 43.1% male, 56.9% female) receiving the metoclopramide-lidocaine combination demonstrated significantly lower pain scores at all assessed time points compared to lidocaine alone, with values of 5.2 ± 1.1 versus 7.7 ± 0.8 at 1 hour, 3.8 ± 0.9 versus 6.2 ± 0.9 at 6 hours (

conclusionThe addition of metoclopramide to subcutaneous lidocaine resulted in improved postoperative pain control and reduced analgesic requirements following lower abdominal surgeries under general anesthesia. CLINICAL

trial registrationIranian Registry of Clinical Trials identifier is IRCT20231228060548N1.

Indexed as

AbdomenAnesthetics, LocalLidocaineMetoclopramidePostoperative PainAdultDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedPain MeasurementAnesthetics, LocalLidocaineMetoclopramidelidocainelower abdominal surgerymetoclopramidemultimodal analgesiaPostoperative painsubcutaneous injection

Identifiers

PMID41031796
PMCPMC12490350

What OpenQuestion holds

Textmetadata
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.