Pediatric anesthesia & critical care

Intravenous lidocaine for postoperative analgesia management in paediatrics: A systematic review with meta-analysis of published studies

Eur J AnaesthesiolPublished Systematic review and meta-analysis of randomised trials

Pooled result · Pain intensity in PACUResult — go to the resultSMD −1.89 CI −3.75 to −0.03

Authors' conclusion

The use of lidocaine is associated with improved pain management.

Study context

Population
Paediatric surgical patients
Comparison
IV lidocaine vs placebo
Outcome
Postoperative pain intensity and opioid consumption
Methodological detailsGrading of Recommendations Assessment, Development and Evaluation (GRADE) analysis
  • GRADE analysis

Pooled result

Pain intensity in PACU

SMD

−1.89

CI −3.75 to −0.03

Lidocaine vs Placebo
SMD −1.89 (CI −3.75 to −0.03)

As reported in the abstract

Further pooled results

OutcomeSMD (CI)
Pain intensity on POD 1 · postoperative day 1I2 = 96%, P of I2 < 0.001−2.02 (−3.37 to −0.66)
Opioid consumption on POD 1 · postoperative day 1I2 = 93%, P of I2 < 0.001−1.2 (−2.19 to −0.2)
Opioid consumption on POD 2 · postoperative day 2I2 = 96%, P of I2 < 0.001−1.73 (−3.9 to 0.44)
  • Pain intensity on POD 1: 5 studies

Opioid consumption on POD 2 · postoperative day 2

No decrease in opioid consumption on POD 2

Pain intensity in PACU and opioid consumption on POD 1 by administration period (subgroup)

Decreased when lidocaine was given during both the intra-operative and postoperative periods

Original publication

Intravenous lidocaine for postoperative analgesia management in paediatrics: A systematic review with meta-analysis of published studies. Eur J Anaesthesiol. Published 29 July 2024. doi:10.1097/eja.0000000000002046

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