Evidence map›Paper›PMID 42135217›Full record

ArticleAnesthesia and pain medicine2026

The impact of a topical spray of lidocaine 10% on maternal satisfaction prior to spinal needle insertion for cesarean delivery in North India: a prospective, randomized, double-blind, placebo-controlled trial.

Swati Singh, Harsh Harsh, Annu Choudhary, Rajat Kumar, Vikash Kumar

Abstract read
In one paragraph

Article in Anesthesia and pain medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Swati SinghDepartment of Anaesthesiology and Critical Care Medicine, Indira Gandhi Institute of Medical Sciences, Patna, India.
Harsh HarshDepartment of Anaesthesiology and Critical Care Medicine, Indira Gandhi Institute of Medical Sciences, Patna, India.
Annu ChoudharyDepartment of Anaesthesiology and Critical Care Medicine, Indira Gandhi Institute of Medical Sciences, Patna, India.
Rajat KumarDepartment of Anaesthesiology and Critical Care Medicine, Indira Gandhi Institute of Medical Sciences, Patna, India.
Vikash KumarDepartment of Anaesthesiology and Critical Care Medicine, Indira Gandhi Institute of Medical Sciences, Patna, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal satisfaction with anesthesia services is crucial, and an important factor affecting it is spinal needle pain. This study was designed to ascertain the effects of a topical spray of 10% lidocaine on spinal needle prick pain and its correlation with maternal satisfaction.

methodsOne hundred ten patients receiving subarachnoid blockade prior to cesarean delivery were randomly allocated to two groups: group LIDO (2 puffs of topical 10% lidocaine spray) and group NS (2 puffs of normal saline spray) given 120 s prior to lumbar puncture, and finally data from 99 patients was analyzed. The primary outcome was maternal satisfaction score (1-5) at the end of surgery, and secondary outcomes were numeric rating scale (NRS) pain score during spinal needle puncture, physical response to pain (observer-assessed score, 0-4).

resultsMaternal satisfaction did not differ significantly between the two groups (mean rank 50.76 vs. 49.26; median [1Q, 3Q]: 4 [4, 5] vs. 4 [4, 5], P = 0.767). Although both the NRS score and the physical response to spinal needle prick were significantly lower in the LIDO group compared to placebo (P < 0.001 for both), maternal satisfaction remained comparable between the groups.

conclusionsTopical 10% lidocaine spray is a feasible, economic, and effective intervention to alleviate pain during spinal needle prick in pregnant women. However, addressing spinal needle prick pain alone cannot improve maternal satisfaction and requires a multidimensional approach.

Indexed as

AnalgesiaAnesthesia, spinalCesarean sectionLidocainePatient satisfaction

Identifiers

PMID42135217
PMCPMC13175906

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