Synergistic Effect of Intravenous Lidocaine on Anesthetic Induction and Emergence in Patients Undergoing Laparoscopic Cholecystectomy or Gynecological Surgery

NCT ID: NCT07193836

Last Updated: 2025-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

195 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-25

Study Completion Date

2025-12-31

Brief Summary

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This study aims to evaluate the effect of intravenous lidocaine on consciousness changes during anesthesia in patients undergoing laparoscopic cholecystectomy or gynecologic surgery. A total of 150 patients will be randomly assigned to one of three groups: a single-dose lidocaine group, a continuous-infusion group, or a placebo group. All patients will receive standard anesthesia care, and the study will monitor brain activity using EEG-based PSi values to measure anesthesia induction time, recovery time, and changes in consciousness. The goal is to determine whether lidocaine can reduce the amount of anesthetic used, shorten the time to fall asleep, and promote faster awakening after surgery. The results may help improve anesthesia safety and enhance recovery in surgical patients.

Detailed Description

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Conditions

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Cholecystectomy, Laparoscopic Gynecologic Surgical Procedures Anesthesia and Procedure Related Time Intervals

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
This study uses a quadruple-blind design. Participants, care providers, investigators, and outcome assessors were blinded to group allocation to minimize performance and assessment bias.

Study Groups

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1. Placebo Group

Participants received an intravenous injection of 0.9% normal saline at induction, with no lidocaine administration throughout the perioperative period.

Group Type PLACEBO_COMPARATOR

Normal Saline (0.9% NaCl)

Intervention Type DRUG

Participants in the control group received a single intravenous injection of 0.9% normal saline at induction of anesthesia.

2. Lidocaine Bolus Group(Experimental)

Participants received a single intravenous bolus of lidocaine (1.5 mg/kg) at anesthesia induction. No continuous infusion was administered.

Group Type EXPERIMENTAL

Lidocaine

Intervention Type DRUG

Participants in this group received a single intravenous bolus of lidocaine (1.5 mg/kg) at anesthesia induction. No additional lidocaine was administered thereafter.

3. Lidocaine Bolus + Infusion Group(Experimental)

Participants received an intravenous bolus of lidocaine (1.5 mg/kg) at induction, followed by continuous intravenous infusion of lidocaine (2.0 mg/kg/h) until the end of surgery.

Group Type EXPERIMENTAL

Lidocaine Bolus + Infusion

Intervention Type DRUG

Participants in this group received a bolus of lidocaine (1.5 mg/kg) at induction followed by continuous intravenous infusion of lidocaine (2 mg/kg/h) until the end of surgery.

Interventions

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Normal Saline (0.9% NaCl)

Participants in the control group received a single intravenous injection of 0.9% normal saline at induction of anesthesia.

Intervention Type DRUG

Lidocaine

Participants in this group received a single intravenous bolus of lidocaine (1.5 mg/kg) at anesthesia induction. No additional lidocaine was administered thereafter.

Intervention Type DRUG

Lidocaine Bolus + Infusion

Participants in this group received a bolus of lidocaine (1.5 mg/kg) at induction followed by continuous intravenous infusion of lidocaine (2 mg/kg/h) until the end of surgery.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults aged 18 to 75 years.
* ASA physical status I-III.
* Scheduled for elective laparoscopic cholecystectomy, laparoscopic
* hysterectomy, or laparoscopic ovarian cystectomy.
* Expected surgical duration \< 120 minutes.
* Preoperative normal cognitive function (MoCA \> 26).
* Able and willing to provide written informed consent.

Exclusion Criteria

* Known allergy to lidocaine or other amide-type local anesthetics.
* History of severe arrhythmias, heart failure (NYHA class III or higher), or epilepsy.
* Central nervous system disorders (e.g., stroke, brain trauma, seizure disorders) or psychiatric illness.
* Severe hepatic or renal dysfunction (ALT/AST \> 2× ULN, or eGFR \< 60 ml/min/1.73 m²).
* Currently taking medications that affect CNS function (e.g., benzodiazepines, antidepressants, antiepileptics).
* Pregnant or breastfeeding women.
* History of drug or alcohol dependence.
* BMI \> 30 kg/m² or \< 18 kg/m².
* Inability to understand study procedures or refusal to sign informed consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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General Hospital of Ningxia Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status

Countries

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China

Other Identifiers

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Huiwen Zhang-2025-09

Identifier Type: -

Identifier Source: org_study_id

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