Skip to main content
. 2018 Jun 4;2018(6):CD009642. doi: 10.1002/14651858.CD009642.pub3

Kim 2018.

Methods Randomized, double‐blinded, controlled trial.
The authors compared the QoR‐40 scores of female patients who received IV lidocaine, magnesium, and saline during thyroidectomy to investigate their effects on comprehensive recovery from anaesthesia.
The study was conducted in the Republic of Korea between December 2013 and October 2014.
Trial identifier: NCT02018276
Participants Sample size: 135 (3 groups, n = 45, respectively)
Only two groups are of interest for this review.
Inclusion criteria
Female patients 20–65 years of age and ASA I or II scheduled to undergo open thyroidectomy under general anaesthesia
Exclusion criteria
Patients who had been experiencing pain before surgery for any reason and those taking analgesics were excluded. Additional exclusion criteria were as follows: pregnancy or breast feeding; BMI > 30 kg/m2; significant heart, kidney, or liver disease; psychiatric or neurological disorders; and contraindications or hypersensitivity reactions to lidocaine or magnesium.
Interventions Experimental group (40 patients)
Immediately after intubation, lidocaine was administered at 2 mg/kg for 15 minutes, followed by 2 mg/kg/h infusions. The study drug was discontinued just before transfer to the PACU.
Control group (37 patients)
The saline administered to the patients in group C was infused at the same rate.
Outcomes QoR‐40 survey, pain, analgesic consumption
Notes Small trial sample size (< 200 patients)
Anaesthesia
Anaesthesia was induced by a bolus administration of propofol (1–2 mg/kg) and remifentanil (1–2 μg/kg). Anaesthesia was conducted with 4% to 7% desflurane with adjuvant IV infusion of remifentanil (0.05 to 0.1 μg/kg/min).
Funding
Departmental funding only
Notes
N/A