Beneficios de la infusión intravenosa de lidocaína perioperatoria sobre la función gastrointestinal en pacientes sometidos a cirugía abdominal. Revisión sistemática

Abstract

Introduction: The return of gastrointestinal function is a critical determinant in the recovery of patients after surgery. Several studies have determined that lidocaine has several benefits to restore intestinal transit. Objective: to determine the benefits of perioperative lidocaine infusion on bowel function in patients undergoing abdominal surgery, through a systemic review. Methods: observational systematic review study. Articles between quartile one to four of Scimago Journal and Country Rank were included. The information search was carried out in the qualified electronic databases such as: Pubmed, Cochrane, Library Plus, Scielo, Medline, Embase, Scopus, Latindex and academic Google. The search was extended using keywords and Boolean operators "AND", "OR" and "NOT", without language restrictions. For data collection, the PICO strategy was used. Results: there is a significant reduction in postoperative paralytic ileus with the administration of intravenous lidocaine p=0.02. Mean time to first bowel movement after abdominal surgery ranged from 5 to 61.4 hours, and intravenous lidocaine significantly reduced bowel movement p < 0.5. Likewise, the time to the first passage of flatus was shorter p <0.05. There were limited data on the occurrence of first bowel sounds. Conclusions: perioperative intravenous lidocaine is effective in improving the recovery of gastrointestinal function after a surgical procedure, which could promote faster recovery in patients.