medigraphic.com
ISSN 3061-8142 (Electronic)

2026, Number 3

<< Back Next >>

Rev Mex Anest 2026; 49 (3)

Clinical evaluation of patients undergoing laparoscopic cholecystectomy with intravenous lidocaine

Débora-Elizondo J, Martínez-Padrón HY, Paulin-Pérez JA, García-Ruiz I

Language: Spanish
References: 32
Page: 150-154
PDF size: 872.73 Kb.


ABSTRACT

Introduction: laparoscopic cholecystectomy is performed in a general way, allowing to manage pain more easily and to reduce hospitalization time. Objective: to evaluate clinically patients undergoing laparoscopic cholecystectomy with intravenous lidocaine. Material and methods: a retrospective, descriptive, observational, cross-sectional study was conducted to evaluate the clinical parameters of patients undergoing laparoscopic cholecystectomy with intravenous lidocaine. Results: 40 patients evaluated, 27.5% men and 72.5% women. Average age 44.35 years. Taking into account normal weight, underweight, overweight and obesity, as well as a history of chronic degenerative diseases. Pain evaluation by EVA of 50% was moderate, at two hours there were 5 points of moderate pain, at four hours there were 2 points of mild pain, at eight hours with a score of 1 and 3 with mild pain. The hospital stay was 3.2 days on average. Conclusion: intravenous lidocaine is an effective and safe tool optimizing pain control, reducing opioid use, and promoting recovery.


REFERENCES

  1. Althaus A, Arránz BO, Moser KH, Lux EA, Weber F, Neugebauer E, Simanski C. Postoperative pain trajectories and pain chronification-an empirical typology of pain patients. Pain Med. 2018;19:2536-2545.

  2. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003;97:534-540.

  3. Awal S, Bhalotra AR, Sharma S. Effects of intraoperative infusion of lidocaine on postoperative pain and quality of recovery in patients undergoing gynecological laparoscopic surgery: a randomized controlled trial. J Anaesthesiol Clin Pharmacol. 2022;38:300-308.

  4. Azevedo LF, Costa-Pereira A, Mendonca L, Dias CC, Castro-Lopes JM. Epidemiology of chronic pain: a population-based nationwide study on its prevalence, characteristics and associated disability in Portugal. J Pain. 2012;13:773-783.

  5. Azevedo LF, Pereira AC, Dias C, Agualusa L, Lemos L, Romão J, et al. Traducción, adaptación cultural y validación multicéntrica de instrumentos para evaluación del impacto del dolor crónico. Dor. 2007;15:6-56.

  6. Bailey M, Corcoran T, Schug S, Toner A. Perioperative lidocaine infusions for the prevention of chronic postsurgical pain: a systematic review and meta-analysis of efficacy and safety. Pain. 2018;159:1696-1704.

  7. Beloeil H, Sion B, Rousseau C, Albaladejo P, Raux M, Aubrun F, et al. Early postoperative neuropathic pain predicts persistent postsurgical pain. Eur J Anaesthesiol. 2017;34:652-657.

  8. Blichfeldt-Eckhardt MR, Ording H, Andersen C, Licht PB, Toft P. Early visceral pain predicts chronic pain after laparoscopic cholecystectomy. Pain. 2014;155:2400-2407.

  9. Bourgeois C, Oyaert L, Van de Velde M, Pogatzki-Zahn E, Freys SM, Sauter AR, et al. Pain management after laparoscopic cholecystectomy: PROSPECT recommendations. Eur J Anaesthesiol. 2024;41:841-855.

  10. Bugada D, Mariano ER. Predictors of chronic postsurgical pain: towards personalized medicine. Minerva Anestesiol. 2022;88:764-767.

  11. Chan TCW, Cheung CW, Wong SSC, Chung AYF, Irwin MG, Chan PK, et al. Preoperative dexamethasone for pain relief after total knee arthroplasty: a randomized controlled trial. Eur J Anaesthesiol. 2020;37:1157-1167.

  12. Chou R, Gordon DB, Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Guidelines on the management of postoperative pain. J Pain. 2016;17:131-157.

  13. Cohen SP, Vase L, Hooten WM. Chronic pain: burden, best practices, and new advances. Lancet. 2021;397:2082-2097.

  14. Correll D. Chronic postoperative pain: recent findings. F1000Res. 2017;6:1054.

  15. Doleman B, Mathiesen O, Sutton AJ, Cooper NJ, Lund JN, Williams JP. Non-opioid analgesics for prevention of chronic postsurgical pain. Br J Anaesth. 2023;130:719-728.

  16. Dualé C, Ouchchane L, Schoeffler P, Dubray C, Soule-Sonneville S, Decoene C, et al. Neuropathic aspects of persistent postsurgical pain: multicenter study. J Pain. 2014;15:24.e1-24.e20.

  17. Dunn LK, Durieux ME. Perioperative use of intravenous lidocaine. Anesthesiology. 2017;126:729-737.

  18. Eckeli FD, Teixeira RA, Gouvea AL. Neuropathic pain evaluation tools. Rev Dor. 2016;17(Suppl):S20-S22.

  19. Fletcher D, Stamer UM, Pogatzki-Zahn E, Zaslansky R, Tanase NV, Perruchoud C, et al. Chronic postsurgical pain in Europe. Eur J Anaesthesiol. 2015;32:725-734.

  20. Fregoso G, Wang A, Tseng K, Wang J. Transition from acute to chronic pain. Pain Physician. 2019;22:476-488.

  21. Gan TJ. Poorly controlled postoperative pain: prevalence and consequences. J Pain Res. 2017;10:2287-2298.

  22. Geil D, Thomas C, Zimmer A, Meissner W. Chronified pain following operative procedures. Dtsch Arztebl Int. 2019;116:261-266.

  23. Hadi MA, McHugh GA, Closs SJ. Impact of chronic pain on quality of life. J Patient Exp. 2019;6:133-141.

  24. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63:S240-252.

  25. Hermanns H, Hollmann MW, Stevens MF, Lirk P, Brandenburger T, Piegeler T, et al. Molecular mechanisms of systemic lidocaine. Br J Anaesth. 2019;123:335-349.

  26. Hoofwijk DM, Fiddelers AA, Peters ML, Stessel B, Kessels AG, Joosten EA, et al. Predictive factors of chronic postsurgical pain. Clin J Pain. 2015;31:1017-1025.

  27. Huang CC, Sun WZ, Wong CS. Prevention of chronic postsurgical pain: the effect of preventive and multimodal analgesia. Asian J Anesthesiol. 2018;56:74-82.

  28. Jensen K, Kehlet H, Lund CM. Postoperative recovery after laparoscopic cholecystectomy. Acta Anaesthesiol Scand. 2007;51:464-471.

  29. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors. Lancet. 2006;367:1618-1625.

  30. Kosharskyy B, Almonte W, Shaparin N, Pappagallo M, Smith H. Intravenous infusions in chronic pain management. Pain Physician. 2013;16:231-249.

  31. Kuusniemi K, Poyhia R. Present-day challenges and future solutions in postoperative pain management: results from PainForum 2014. J Pain Res. 2016;9:25-36.

  32. Lavand'homme P. Transition from acute to chronic pain after surgery. Pain. 2017;158:S50-S54.




2020     |     www.medigraphic.com