Evidence map›Paper›PMID 41446396›Full record

ArticleHealth science reports2025

A Potential Role of Intraoperative Lidocaine in Patients Undergoing Thyroidectomy-An Original Systematic Review and Meta-Analysis.

Ayesha Khan, Syeda Emmama, Mahnoor Aamir, Munazzah Marium, Iftikhar Rashid, Marium Abbas, Aleezah Fatima, Alina Amir, Shafin Bin Amin, Syed Ali Arsal and 4 more

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

14 authors.

Ayesha KhanDow Medical College Mission Rd Karachi City Sindh Pakistan.ORCID https://orcid.org/0009-0005-0444-5095
Syeda EmmamaDow Medical College Mission Rd Karachi City Sindh Pakistan.
Mahnoor AamirIslamabad Medical and Dental College Q645 + 2XP Wadi-ul-Ilm Islamabad Islamabad Capital Territory Pakistan.
Munazzah MariumJinnah Sindh Medical University Karachi Pakistan.
Iftikhar RashidShaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Marium AbbasIslamabad Medical and Dental College Q645 + 2XP Wadi-ul-Ilm Islamabad Islamabad Capital Territory Pakistan.
Aleezah FatimaDow Medical College Mission Rd Karachi City Sindh Pakistan.
Alina AmirJinnah Sindh Medical University Karachi Pakistan.
Shafin Bin AminJinnah Sindh Medical University Karachi Pakistan.
Syed Ali ArsalShaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.ORCID https://orcid.org/0000-0002-8665-4288
Umer IqbalShaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Muhammad MaazShaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.
Aashish KumarShaheed Mohtarma Benazir Bhutto Medical College Karachi Pakistan.ORCID https://orcid.org/0000-0003-2277-4050
Inibehe Ime OkonDepartment of Research Medical Research Circle (MedReC) Bukavu Democratic Republic of the Congo.ORCID https://orcid.org/0009-0003-8275-5713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Thyroidectomy is a routine operation for diverse thyroid diseases between benign and malignant. In such cases, the complications and postoperative pains, such as nausea, vomiting, and hemodynamic instability, complicate recovery and lengthen hospital stays. Lidocaine may prove beneficial due to its analgesic, anti-inflammatory, and antihyperalgesic actions. The current systematic review and meta-analysis assessed the effect of IV lidocaine infusion on postoperative pain and its complications in patients undergoing total thyroidectomy. Methods: A systematic review of published RCTs between 2016 and 2023 was conducted using PubMed, Embase, and Google Scholar. Their inclusion criteria were the comparison of IV lidocaine versus placebo in managing patients undergoing thyroidectomy. The primary outcomes included postoperative pain by VAS measurements. Secondary outcomes included MAP, heart rate at extubation, and PONV. A random effects model was applied for the analysis, whereas statistical evaluation was done using RevMan 5.2. Results: A total of five RCTs of 375 patients were summarized, where 172 patients were in the lidocaine group and 203 in the placebo group. Significant reduction in postoperative pain of IV lidocaine was shown (SMD = -1.24; 95% CI: -2.7 to 0.30; Conclusion: IV lidocaine shows potential in reducing postoperative pain, improving hemodynamic stability, and decreasing cough incidence in thyroidectomy patients. However, its effect on PONV remains unclear, warranting further investigation.

Indexed as

analgesic efficacylidocainemeta‐analysispostoperative painthyroidectomy

Identifiers

PMID41446396
PMCPMC12723206

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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.