{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:31:06Z","timestamp":1780493466805,"version":"3.54.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Propofol, a widely used sedative in endoscopic procedures, sometimes causes cardiopulmonary complications. Intravenous lidocaine can diminish visceral pain and decrease the dose of propofol. The purpose of this study was to assess the efficacy and safety of intravenous lidocaine in reducing propofol dosage during paediatric colonoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty children who underwent colonoscopy were divided into two groups. Lidocaine hydrochloride (1.5\u2009mg\/kg induction and 2\u2009mg\/kg\/h maintenance) was given intravenously to the lidocaine group, and the same amount of saline was given to the control group after they received lidocaine induction. Propofol initial plasma concentration of 5\u2009\u03bcg\/mL was targeted, and the procedure was performed after the bispectral index value reached 55. The primary outcome was propofol requirement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The propofol requirement in the lidocaine group was decreased by 35.5% (128.6\u2009\u00b1\u200930.4\u2009mg vs. 199.4\u2009\u00b1\u200957.6\u2009mg;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; 95%CI: \u2212\u2009100.60, \u2212\u200941.02). The incidence of involuntary body movements was significantly lower in the lidocaine group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028; OR\u2009=\u20090.17; 95%CI: 0.03, 0.92). The awakening time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; 95%CI: \u2212\u20097.67, \u2212\u20095.13) and recovery times (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; 95%CI: \u2212\u20097.45, \u2212\u20094.35) were significantly lower in the lidocaine group. Pain was significantly less at 30\u2009min and 60\u2009min after the procedure in the lidocaine group (0 [0\u20134] vs. 3 [0\u20135],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090. 001; 0 [0\u20132] vs. 1 [0\u20133],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). There was no difference in the incidence of bradycardia, hypotension, or hypoxia between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For colonoscopy procedures in paediatric patients, intravenous lidocaine reduces the amount of propofol needed, provides better sedation and postprocedural pain management, as well as a reduction in recovery time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      The trial was registered on November 6, 2020 at China Clinical Trials Registration Center (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.chictr.org.cn\">www.chictr.org.cn<\/jats:ext-link>\n                      ) ref.: ChiCTR 2,000,039,706.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12871-021-01525-0","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T05:03:02Z","timestamp":1638334982000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Use of intravenous lidocaine for dose reduction of propofol in paediatric colonoscopy patients: a randomised placebo-controlled study"],"prefix":"10.1186","volume":"21","author":[{"given":"Wenshui","family":"Yao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1285-5634","authenticated-orcid":false,"given":"Longxin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guolin","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peihan","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanjuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"issue":"6","key":"1525_CR1","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1067\/mge.2002.123417","volume":"55","author":"PR Bishop","year":"2002","unstructured":"Bishop PR, Nowicki MJ, May WL, Elkin D, Parker PH. 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Informed consent to participate in the study was signed and obtained from all the children and their guardians.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"299"}}