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Effects of Intravenous Lidocaine on Quality of Recovery After Laparoscopic Bariatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Authors :
Barbosa EC
Ortegal GHPC
Aguirre JM
Costa PRR
Ferreira LN
Moreira LF
Silva GC
Ferro Filho PPM
Ferreira DM
Source :
Obesity surgery [Obes Surg] 2024 Jul; Vol. 34 (7), pp. 2663-2669. Date of Electronic Publication: 2024 May 23.
Publication Year :
2024

Abstract

This systematic review and meta-analysis aimed to assess the effects of pre and intraoperative lidocaine infusion on short-term recovery quality after laparoscopic bariatric surgeries. In the search across MEDLINE, Embase, and Cochrane databases, we considered randomized controlled trials comparing intravenous lidocaine vs placebo (saline) for patients with obesity undergoing laparoscopic bariatric surgery. Seven studies (640 patients) were included. The lidocaine group had a significantly higher recovery quality score, a lower morphine consumption, and a notably reduced rate of nausea and vomiting compared with the placebo group. Additionally, Lidocaine infusion was associated with a shorter hospital stay, while no significant difference was observed in the time to bowel function recovery between both groups. In conclusion, lidocaine infusion before and during laparoscopic bariatric surgery contributes to an enhanced quality of recovery.<br /> (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Details

Language :
English
ISSN :
1708-0428
Volume :
34
Issue :
7
Database :
MEDLINE
Journal :
Obesity surgery
Publication Type :
Academic Journal
Accession number :
38780836
Full Text :
https://doi.org/10.1007/s11695-024-07300-7