A Systematic Review of the Usage of Lidocaine in Hip Replacement Surgery.

Autor:	Lu S; Medicine, California University of Science and Medicine, Colton, USA., Reddy AJ; Medicine, California University of Science and Medicine, Colton, USA., Fei M; Biology, Creighton University, Omaha, USA., Wagh H; Miscellaneous, California Northstate University, Elk Grove, USA., Iskandar NP; Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA., Lien J; Medicine, Western University of Health Sciences, Pomona, USA., Nawathey N; Health Sciences, California Northstate University, Rancho Cordova, USA., Arakji GH; Health Sciences, California Northstate University, Rancho Cordova, USA., Patel R; Internal Medicine, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Apr 12; Vol. 15 (4), pp. e37498. Date of Electronic Publication: 2023 Apr 12 (Print Publication: 2023).
DOI:	10.7759/cureus.37498
Abstrakt:	Hip replacement procedures, professionally known as hip arthroplasty, are one of the most common orthopedic procedures. Due to the variation in this procedure, the use and types of anesthetics differ. One such commonly used anesthetic is lidocaine. Since there are currently no standardized or general procedures for the application of lidocaine for perioperative hip arthroplasty procedures, this review aims to delve into this topic. A literature review surrounding the key terms "hip replacement" and "lidocaine" was performed on PubMed. After reviewing 24 randomized control trials, statistical analyses between groups that had no lidocaine versus groups that did were performed. The results showed that there was no statistical significance between various age groups and the use of lidocaine. One percent (1%) and 2% injected into the lumbar region were the most commonly reported doses of lidocaine, with 2% often being the first test dose. Other conclusions were that lidocaine was used for general anesthesia for individuals that underwent hip arthroplasty due to an underlying condition (cauda equina syndrome, ankylosing spondylitis, etc.). Lidocaine was also used for postoperative pain relief, which is a potential concern from its addictive qualities. This investigation outlines the current stance and usage of lidocaine in perioperative hip arthroplasty while noting its limitations. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Lu et al.)
Databáze:	MEDLINE
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