The effect of preoperative intravenous lidocaine on postoperative pain following hysteroscopy: A randomized controlled trial.

Abstract:

BACKGROUND:The use of hysteroscopy for the diagnosis and treatment of uterine and endometrial abnormalities is often associated with postoperative pain. This randomized controlled trial aimed to assess the efficacy of preoperative intravenous (IV) lidocaine in reducing pain after hysteroscopy. METHODS:In total, 138 patients undergoing elective hysteroscopy at the CHA Bundang Medical Center, Seongnam, Korea were randomly assigned to a control group (n = 69) or a lidocaine group (n = 69), which received normal saline or IV lidocaine at 1.5 mg/kg, respectively. The primary outcome was the incidence of postoperative pain. RESULTS:The incidence of pain was significantly lower in the IV lidocaine group than in the control group at the post-anesthesia care unit (27.3% vs 68.2%, P < .001). The visual analog scale (0-10) score (median [interquartile range]) was lower in the IV lidocaine group than in the control group (0 [0-2]) vs 2 [0-4]), P < .001). The use of rescue analgesics and postoperative nausea and vomiting were similar between the 2 groups. This study demonstrated that administering 1.5 mg/kg of preoperative IV lidocaine can be a simple method to reduce incidence of pain after hysteroscopy. CONCLUSION:Preoperative bolus administration of 1.5 mg/kg of IV lidocaine may be used to decrease incidence of pain after hysteroscopy under general anesthesia.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Lee J,Lee S,Lee H,Kim HC,Park C,Kim JY

doi

10.1097/MD.0000000000022751

subject

Has Abstract

pub_date

2020-10-16 00:00:00

pages

e22751

issue

42

eissn

0025-7974

issn

1536-5964

pii

00005792-202010160-00073

journal_volume

99

pub_type

杂志文章,随机对照试验

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