Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2018, Vol. 40 ›› Issue (2): 163-169.doi: 10.3881/j.issn.1000-503X.2018.02.005

• Original Articles • Previous Articles     Next Articles

Effects of Continuous Intravenous Intraoperative Lidocaine Infusion on Opioids Consumption and Postoperative Recovery in Patients Undergoing Video-assisted Thoracoscopic Lobectomy

LIU Zijia1, ZHANG Liangyan1, ZHENG Xuguang2, SHEN Le1, SONG Kaicheng1, YI Jie1(), HUANG Yuguang1(   

  1. 1Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
    2Department of Anesthesiology,Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine, Cangzhou,Hebei 061001,China
  • Received:2017-08-21 Online:2018-04-28 Published:2018-05-03

Abstract:

Objective To investigate whether continuous intravenous intraoperative lidocaine infusion can reduce the opioids dosage and improve postoperative recovery in patients undergoing video-assisted thoracoscopic(VATS) lobectomy. Methods Totally 60 patients undergoing VATS lobectomy were enrolled in this single-center randomized controlled study.The patients were equally randomized into lidocaine continuous pumping group(lidocaine group) and control group by computer-based random numbers.The patients had double-lumen catheter intubation,and total intravenous anesthesia was administrated intraoperatively.In the lidocaine group,patients continuously received intravenous pumping of lidocaine [2 mg/(kg·h) ] after a loading doses(1 mg/kg) until the end of the operation.We recorded the basic characteristics,preoperative examination,intraoperative medications,and postoperative recovery of both groups.Results The basic characteristics and preoperative examination findings were comparable between these two groups(all P>0.05).Compared with the control group,the intraoperative sufentanil consumption significantly decreased in the lidocaine group [(32.3±7.5) μg vs.(40.9±10.2) μg,P<0.001].Significantly more patients were given esmolol intraoperatively in the control group to lower heart rate(P=0.010).The incidence of postoperative nausea within 24 hours was significantly lower in the lidocaine group(P=0.045).There was no significant difference between the two groups in postoperative recovery(all P>0.05).Conclusion Intravenous continuous pumping of lidocaine during operation can reduce opioids consumption and lower the incidence of postoperative nausea without extra adverse or toxic reaction in patients undergoing VATS lobectomy.

Key words: lidocaine, video-assisted thoracoscopic lobectomy, opioids, multimodal analgesia, postoperative recovery

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