Intravenous Lidocaine for Post-Tonsillectomy Pain in Pediatric Patients

Summary

The purpose of this study is to determine whether giving lidocaine intravenously during and after a tonsillectomy surgery is effective in decreasing postoperative pain.

Timeline

Start

2015-11

Primary completion

2024-06-05

Completion

2024-07-05

Outcome

Missed primary endpoint

paper There was no difference in adjusted postanesthesia care unit morphine consumption per kg of body weight PMID 41134317 ↗

paper difference -0.01 MME/kg (95% confidence interval [CI], -0.07 to 0.04; P = .627) PMID 41134317 ↗

Publications

• Background Kranke P, Jokinen J, Pace NL, Schnabel A, Hollmann MW, Hahnenkamp K, Eberhart LH, Poepping DM, Weibel S. Continuous intravenous perioperative lidocaine infusion for postoperative pain and recovery. Cochrane Database Syst Rev. 2015 Jul 16;(7):CD009642. doi: 10.1002/14651858.CD009642.pub2.
• Background Koppert W, Ostermeier N, Sittl R, Weidner C, Schmelz M. Low-dose lidocaine reduces secondary hyperalgesia by a central mode of action. Pain. 2000 Mar;85(1-2):217-24. doi: 10.1016/s0304-3959(99)00268-7.
• Background Goldman JL, Baugh RF, Davies L, Skinner ML, Stachler RJ, Brereton J, Eisenberg LD, Roberson DW, Brenner MJ. Mortality and major morbidity after tonsillectomy: etiologic factors and strategies for prevention. Laryngoscope. 2013 Oct;123(10):2544-53. doi: 10.1002/lary.23926. Epub 2013 Apr 17.
• Background McCarthy GC, Megalla SA, Habib AS. Impact of intravenous lidocaine infusion on postoperative analgesia and recovery from surgery: a systematic review of randomized controlled trials. Drugs. 2010 Jun 18;70(9):1149-63. doi: 10.2165/10898560-000000000-00000.
• Benzon HA, King MR, Kilner KJ, Shah RD, Billings KR, Hoff SR, McCarthy RJ. Intravenous Lidocaine for Postoperative Pain in Children Undergoing Tonsillectomies: A Double-Blinded, Randomized, Placebo-Controlled Trial. Anesth Analg. 2026 Jul 1;143(1):122-131. doi: 10.1213/ANE.0000000000007786. Epub 2025 Oct 23.

Drugs

Evaluation	Drug	Modality	Dose	Route
Subject	Lidocaine	Other / unclassified	2 mg/kg	Intravenous

Indications

No indication recorded.