Evidence map›Paper›PMID 41194239›Full record

Trial reportEuropean journal of medical research2025

Effect of perioperative lidocaine application on inflammatory factors, immune function, and quality of early postoperative recovery in patients undergoing video-assisted thoracoscopic surgery: a randomized controlled trial.

Li Zhang, Pihong Wei, Haihong Wang, Yuehua Zhang, Huadong Wang, Yan Xu, Zaiqi Yang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Li ZhangDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Pihong WeiDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Haihong WangDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Yuehua ZhangDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Huadong WangDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Yan XuDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China.
Zaiqi YangDepartment of Anesthesiology, The Affiliated Taian City Central Hospital of Qingdao University, No. 29 Longtan Road, Taishan District, Tai'an City, 271000, Shandong Province, China. yangzaiqi_1972@126.com.

Funding

This study was supported by the 2022 Special Fund for Analgesic Sedation-Anesthesia Optimization of the Shandong Medical Association(YXH2022ZX05279) YXH2022ZX05279
6 · The paper itself

Abstract

objectiveTo assess the effect of low-dose perioperatively continuous infusion of lidocaine on postoperative inflammation, immune function and quality of recovery in patients undergoing video-assisted thoracoscopic surgery (VATS).

methodsPatients with lung cancer aged 18-65 years, undergoing elective VATS were randomized into lidocaine intervention (L) and standard care (C) groups. For patients in Group L, 1 mg/kg lidocaine was intravenously injected within approximately 10 min during the induction of anesthesia, followed by a continuous infusion of lidocaine at a rate of 1.5 mg/kg/h until the patient left the operating room. The postoperative analgesia plan included 2% lidocaine at 5 mg/kg. Group C was given an equal volume of normal saline as a control.The primary outcomes were plasma concentrations of tumor necrosis factor-α (TNF-α), interleukin-1(IL-1), and interleukin-6 (IL-6), along with T lymphocyte counts of CD3

resultsIn Group C and Group L, compared with preoperative levels, the levels of CD3 + , CD4 + and the ratio of CD4 + /CD8 + were significantly decreased at 24 and 48 h postoperatively, while the levels of TNF-α, IL-1 and IL-6 were significantly increased (P < 0.05). Compared with Group C, in Group L, the levels of CD3 + , CD4 + and the ratio of CD4 + /CD8 + were significantly increased at 24 and 48 h postoperatively, while the levels of TNF-α, IL-1 and IL-6 were significantly decreased (P < 0.05).Additionally, the L group experienced less pain on the movement VAS, the decreased OME dosage and a lower rate of PONV within 48 h postoperatively than the C group (P < 0.05).

conclusionIntravenous infusion of lidocaine during the perioperative period was effective in reducing postoperative inflammatory response and the postoperative suppression of cellular immune function in the body, as well as significantly reducing the level of postoperative pain and the incidence of PONV in patients undergoing VATS.

Indexed as

Anesthetics, LocalInflammationLidocaineLung NeoplasmsThoracic Surgery, Video-AssistedAdolescentAdultAgedFemaleHumansInterleukin-6MaleMiddle AgedPostoperative PainYoung AdultAnesthetics, LocalInterleukin-6LidocaineInflammatory factorsLidocaineLung cancerT lymphocytesVideo-assisted thoracoscopic surgery

Identifiers

PMID41194239
PMCPMC12590699

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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.