Pediatric anesthesia & critical care

Perioperative Intravenous Lidocaine Infusion Therapy as an Adjunct to Multimodal Analgesia for Adolescent Idiopathic Scoliosis Surgical Correction: A Double‐Blind Randomized Controlled Trial

Paediatr AnaesthPublished Randomised controlled trial

Primary result · 48-h morphine utilizationResult — go to the resultMedian difference −0.11 mg kg-1 95% CI −0.30 to 0.13

Authors' conclusion

We found no evidence to support the adjunctive use of 48-h perioperative intravenous lidocaine therapy in adolescents undergoing scoliosis correction in which effective multimodal analgesia was adopted.

Study context

Population
10–19 years old, ASA I–III, undergoing single-stage adolescent idiopathic scoliosis correctiondata available
Participants
38 participants
Comparison
Intervention vs Control
Primary endpoint
Morphine utilization
Follow-up
48 h
Methodological detailsdouble-blinded
  • Double-blinded

Primary result

48-h morphine utilization

Median difference

−0.11 mg kg-1

95% CI −0.30 to 0.13

P = 0.264

By group

Intervention vs Control
median difference −0.11 mg kg-1 (95% CI −0.30 to 0.13); P = 0.264

As reported in the abstract

Secondary outcomes

OutcomeInterventionControlMedian difference (95% CI)P value
First postoperative pain score3/10 (IQR 1.75–5)5/10 (IQR 3–7)−2 (0 to −3)P = 0.035

Morphine utilization at 12, 24, 36 h and other secondary outcomes

No differences

Safety

Suspected local anesthetic systemic toxicity, mild symptoms — Intervention
3 events

Original publication

Perioperative Intravenous Lidocaine Infusion Therapy as an Adjunct to Multimodal Analgesia for Adolescent Idiopathic Scoliosis Surgical Correction: A Double‐Blind Randomized Controlled Trial. Paediatr Anaesth. Published 6 May 2025. doi:10.1111/pan.15124

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