Perioperative intravenous lidocaine for gastrointestinal recovery and pain control in elective colorectal surgery: a systematic review and updated meta-analysis of randomized controlled trials
Aug 2026· Surgical Endoscopy· Vol 40, pp. 7365 - 7376· 0 citations· 40 references
Medicine
TL;DR
Perioperative intravenous lidocaine modestly improves gastrointestinal recovery and early postoperative pain after minimally invasive colorectal surgery but does not affect ileus, hospital stay, or opioid use.
IP lidocaine provides significant pain relief and reduces opioid consumption following LC compared to placebo, and represents a safe, cost-effective adjunct for multimodal analgesia in LC, particularly for addressing shoulder tip pain.
Sajid Hussain Altaf Hussain, H. Saati, Marya Ahsan et al.· Irish Journal of Medical Sci...· 0 citations
There is moderate-certainty evidence that perioperative intravenous lidocaine reduces postoperative pain and opioid consumption after adult spine surgery and this benefit appeared procedure-specific, with the greatest benefit after instrumented fusion and complex procedures.
V. Felippe, C. Bersot, G. L. González et al.· Regional anesthesia and pain...· 1 citation
LTAP block provides superior early postoperative analgesia compared with port-site local anesthetic infiltration after laparoscopic cholecystectomy, with a modest reduction in hospital stay, although evidence for several secondary outcomes remains limited by heterogeneity and inconclusive trial sequential analysis.
J. Javed, M. Qasim, Zaryab Bacha et al.· Medicine· 0 citations
MMA shows no clear effect on postoperative pain at 24 h but reduces PONV incidence and opioid consumption, and larger, standardized trials are needed to define optimal MMA regimens and patient selection.
Stefano M. Arigoni, Adina B Heitmann-Frei, Marc von Gernler et al.· Journal of clinical anesthes...· 0 citations
Background: Intravenous magnesium sulfate has been proposed as an adjuvant analgesic in perioperative care; however, its effects on postoperative pain and related analgesic outcomes remain uncertain. Methods: A systematic search of the literature was conducted from 1 January 2015 through 19 January 2026 to identify ran...
L. Tomaszek, W. Mędrzycka-Dąbrowska, S. Lange et al.· Pharmaceuticals· 0 citations
Perioperative intravenous magnesium sulfate improves analgesia and reduces opioid consumption in spinal surgery, especially with a bolus-plus-infusion regimen, but it may delay emergence and increase hypotension risk.
Yao Huang, Peng Yuan, Lei Cao et al.· Journal of clinical anesthes...· 0 citations
We use cookies to run the site and, with your consent, for analytics and to show ads.
See our Cookie Policy.