EFFECT OF INTRAVENOUS LIGNOCAINE ON HEMODYNAMIC VARIABLES DURING INTRAOPERATIVE AND POST-OPERATIVE PERIOD
DOI:
https://doi.org/10.22159/ajpcr.2024v17i7.50823Keywords:
Hemodynamic response, Post-operative analgesia, LidocaineAbstract
Objectives: The objective of this study was to assess the efficacy of intravenous lignocaine on hemodynamic variables during intraoperative and post-operative periods and in relieving post-operative pain in major abdominal surgery.
Methods: To investigate the effects of lidocaine, we designed a double-blind study. We enrolled 100 patients of ASA Grade I or II slated for major abdominal procedures. Each participant received either lidocaine or a saline placebo intravenously. After surgery, we monitored their pain levels, vital signs, and any potential side effects.
Results: Our study revealed clear differences in heart rate, blood pressure (both systolic and diastolic), and overall arterial pressure between the lidocaine and placebo groups. Notably, the lidocaine group experienced fewer side effects, such as nausea, vomiting, headache, and shivering, compared to the control group.
Conclusion: Intravenous lidocaine reduces intraoperative and post-operative pulse rate and blood pressure in major abdominal surgery. It delays analgesic needs and lowers the incidence of nausea, vomiting, chills, and headache compared to controls.
Downloads
References
Weinberg L, Peake B, Tan C, Nikfarjam M. Pharmacokinetics and pharmacodynamics of lignocaine: A review. World J Anesthesiol. 2015;4(2):17-29. doi: 10.5313/wja.v4.i2.17
Lauretti GR. Mechanisms of analgesia of intravenous lidocaine. Rev Bras Anestesiol. 2008;58(3):280-6. doi: 10.1590/s0034- 70942008000300011, PMID: 19378524
Hollmann MW, Durieux ME. Local anesthetics and the inflammatory response: A new therapeutic indication? Anesthesiology. 2000;93(3):858-75. doi: 10.1097/00000542-200009000-00038, PMID: 10969322
Koppert W, Ostermeier N, Sittl R, Weidner C, Schmelz M. Low-dose lidocaine reduces secondary hyperalgesia by a central mode of action. Pain. 2000;85(1-2):217-24. doi: 10.1016/s0304-3959(99)00268-7, PMID: 10692621
Minami K, Uezono Y. The recent progress in research on effects of anesthetics and analgesics on G protein-coupled receptors. J Anesth. 2013;27(2):284-92. doi: 10.1007/s00540-012-1507-2, PMID: 23099434
Farag E, Ghobrial M, Sessler DI, Dalton JE, Liu J, Lee JH, et al. Effect of perioperative intravenous lidocaine administration on pain, opioid consumption, and quality of life after complex spine surgery. Anesthesiology. 2013;119(4):932-40. doi: 10.1097/ ALN.0b013e318297d4a5, PMID: 23681143
Peng Y, Zhang W, Kass IS, Han R. Lidocaine reduces acute postoperative pain after supratentorial tumor surgery in the PACU: A secondary finding from a randomized, controlled trial. J Neurosurg Anesthesiol. 2016;28(4):309-15. doi: 10.1097/ ANA.0000000000000230, PMID: 26397235
Shal SE. A comparative study of effect of intravenous lidocaine infusion, gabapentin and their combination on postoperative analgesia after thyroid surgery. Open J Anesthesiol. 2017;7(9):296-314. doi: 10.4236/ojanes.2017.79030
Couceiro TC, Lima LC, Couceiro LM, Valencça MM. Intravenous lidocaine to treat postoperative pain. Rev Dor. 2014;15(1):55-60. doi: 10.5935/1806-0013.20140013
McCarthy GC, Megalla SA, Habib AS. Impact of intravenous lidocaine infusion on postoperative analgesia and recovery from surgery: A systematic review of randomized controlled trials. Drugs. 2010;70(9):1149-63. doi: 10.2165/10898560-000000000-00000, PMID: 20518581
Koppert W, Weigand M, Neumann F, Sittl R, Schuettler J, Schmelz M, et al. Perioperative intravenous lidocaine has preventive effects on postoperative pain and morphine consumption after major abdominal surgery. Anesth Analg. 2004;98(4):1050-5. doi: 10.1213/01.ANE.0000 103300.36642.0F4582.71710.EE, PMID: 15041597
Jain S, Khan RM. Effect of peri-operative intravenous infusion of lignocaine on haemodynamic responses to intubation, extubation and post-operative analgesia. Indian J Anaesth. 2015;59(6):342-7. doi: 10.4103/0019-5049.158733, PMID: 26195829
Dogan SD, Ustun FE, Sener EB, Koksal E, Ustun YB, Kaya C, et al. Effects of lidocaine and esmolol infusions on hemodynamic changes, analgesic requirement, and recovery in laparoscopic cholecystectomy operations. Braz J Anesthesiol. 2016;66(2):145-50. doi: 10.1016/j. bjan.2014.05.007
Reddy AV, Aasim SA, Trivikram N. Effect of perioperative intravenous infusion of lignocaine on haemodynamic responses to intubation, extubation and post-operative analgesia. Asian Pac J Health Sci. 2017;4(2):18-23. doi: 10.21276/apjhs.2017.4.2.4
White PF. The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery. Anesth Analg. 2002;94(3):577-85. doi: 10.1097/00000539-200203000-0003619, PMID: 11867379
Sugimoto M, Uchida I, Mashimo TO. Local anaesthetics have different mechanisms and sites of action at the recombinant N-methyl-D-aspartate (NMDA) receptors. Br J Pharmacol. 2003;138(5):876-82. doi: 10.1038/sj.bjp.0705107, PMID: 12642389
Asouhidou I, Trikoupi A. Esmolol reduces anesthetic requirements thereby facilitating early extubation; a prospective controlled study in patients undergoing intracranial surgery. BMC Anesthesiol. 2015;15:172. doi: 10.1186/s12871-015-0154-1, PMID: 26615516
Dustan HP. Calcium channel blockers. Potential medical benefits and side effects. Hypertension. 1989;13(5 Suppl):I137-40. doi: 10.1161/01. hyp.13.5_suppl.i137, PMID: 2490817
Kaba A, Laurent SR, Detroz BJ, Sessler DI, Durieux ME, Lamy ML, et al. Intravenous lidocaine infusion facilitates acute rehabilitation after laparoscopic colectomy. Anesthesiology. 2007;106(1):11-8, discussion 5-6. doi: 10.1097/00000542-200701000-00007, PMID: 17197840
Gupta A, Joseph A, Mahajan HK, Chauhan PR, Sarkar A, Dhanerwa R, et al. Evaluation of clonidine and lignocaine for attenuation of haemodynamic response to laryngoscopy and intubation: A randomised controlled trial. J Clin Diagn Res. 2018;12(2):17-20.
Murthy TK, Kumar PV. Effect of perioperative intravenous lignocaine infusion on haemodynamic responses and postoperative analgesia in laparoscopic cholecystectomy surgeries. Anesth Pain Med. 2018;8:e63490.
Bhalerao NS, Modak A, Belekar V. Comparison between magnesium sulfate (50 mg/kg) and lignocaine (2 mg/kg) for attenuation of intubation response in hypertensive patients. J Datta Meghe Inst Med Sci Univ. 2017;12(2):118-20. doi: 10.4103/jdmimsu.jdmimsu_58_17
Song XS, Sun Y, Zhang X, Li T, Yang B. Effect of perioperative intravenous lidocaine infusion on postoperative recovery following laparoscopic cholecystectomy: A randomized controlled trial. Int J Surg. 2017;45:8-13. doi: 10.1016/j.ijsu.2017.07.042, PMID: 2870559224. De Oliveira CM, Coelho LM, Valadão JA, Moura EC, Da Silva AA, De Lima RC, et al. Assessment of the effect of perioperative venous lidocaine on the intensity of pain and IL-6 concentration after laparoscopic gastroplasty. Obes Surg. 2020;30(10):3912-8. doi: 10.1007/s11695-020-04748-1, PMID: 32533519
Koshyari HS, Asrthana V, Agrawal S. Evaluation of lignocaine infusion on recovery profile, quality of recovery, and postoperative analgesia in patients undergoing total abdominal hysterectomy. J Anaesthesiol Clin Pharmacol. 2019;35(4):528-32. doi: 10.4103/joacp.JOACP_209_18, PMID: 31920239
Tikuišis R, Miliauskas P, Samalavičius NE, Žurauskas A, Samalavičius R, Zabulis V. Intravenous lidocaine for post-operative pain relief after hand-assisted laparoscopic colon surgery: A randomized, placebo-controlled clinical trial. Tech Coloproctol. 2014;18(4):373-80. doi: 10.1007/s10151-013-1065-0, PMID: 24030782
Marret E, Rolin M, Beaussier M, Bonnet F. Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery. Br J Surg. 2008;95(11):1331-8. doi: 10.1002/bjs.6375, PMID: 18844267
Published
How to Cite
Issue
Section
Copyright (c) 2024 Dr, Dr Sanjiv Titler, Shyambaran, Rakesh D R, Ravindra Singh
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.