Pediatric anesthesia & critical care

Perioperative intravenous lignocaine for pediatric postoperative pain—A systematic review and meta‐analysis

Paediatr AnaesthPublished Systematic review and meta-analysis

Pooled result · Morphine consumption, first 24 h after surgeryResult — go to the resultSMD −1.31 95% CI −2.18 to −0.43

Authors' conclusion

There is low quality evidence to suggest that perioperative intravenous lignocaine bolus followed by an infusion significantly reduced the opioid consumption on the first postoperative day in pediatric surgical patients. The effects of perioperative lignocaine on postoperative pain scores and the need for rescue analgesia are uncertain.

Study context

Population
Pediatric patients (≤18 years) undergoing surgery under GA
Participants
415 patients · 7 studies
Comparison
Perioperative IV lignocaine vs placebo
Outcome
Postoperative opioid consumption
Follow-up
24 h

Pooled result

Morphine consumption, first 24 h after surgery

SMD

−1.31

95% CI −2.18 to −0.43

P = 0.003

Lignocaine vs Placebo
SMD −1.31 (95% CI −2.18 to −0.43); P = 0.003

As reported in the abstract

Further pooled results

Postoperative pain scores and need for rescue analgesia

Meta-analysis could not be performed

Original publication

Perioperative intravenous lignocaine for pediatric postoperative pain—A systematic review and meta‐analysis. Paediatr Anaesth. Published 4 October 2024. doi:10.1111/pan.15015

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