Conclusion
sore throat, postoperative pain, hematomas, hernia, cough, PONV
SORE THROAT, HEMATOMAS, POSTOPERATIVE COMPLICATIONS, WOUND DEHISCENCE, SECONDARY, EVENTS, COMPLICATIONS
In women who underwent breast surgery, IV lidocaine bolus administered just before extubation attenuated bucking, cough and sore throat, and PONV for 24 hours after general anesthesia, without prolonging the emergence.ISRCTN: 71855856.Smooth emergence and recovery from anesthesia are an important part of anesthesia practice. Avoiding bucking and coughing on emergence reduces multiple postoperative complications ranging from wound dehiscence and hematomas, especially in plastic and hernia repair surgeries, to an increase in hemodynamic response, which could lead to acute cardiovascular events and increased intraocular and intracranial pressure. One way of reducing bucking and coughing on emergence is IV lidocaine given before endotracheal extubation. A recent meta-analysis of 16 studies (n = 1516) showed that early recovery was improved by administration of 1-1.5 mg/kg of IV lidocaine (Since the data about the influence of pre-extubation lidocaine on early and late recovery are sparse, we investigated whether IV lidocaine would improve emergence and prevent complications in early and late recovery after general anesthesia in women undergoing breast surgery. The primary outcome was the quality of the emergence after general anesthesia (bucking and coughing). The secondary outcomes were PONV and postoperative pain.