Purpose of Review

The purpose of this review is to provide a summary of the perioperative studies that have examined transdermal lidocaine (lidocaine patch) as an analgesic and put the evidence in context of the likely overall benefit of transdermal lidocaine in the perioperative period.

Recent Findings

Several randomized controlled trials have been published in the past 4 years that concluded transdermal lidocaine can reduce acute pain associated with laparoscopic trocar or cannula insertion.

Summary

Transdermal lidocaine may reduce short-term pain after surgery in selected surgery types and has a low risk of toxicity but its overall clinical utility in the perioperative setting is questionable. Transdermal lidocaine does not consistently reduce opioid consumption after surgery and has not been shown to improve patient function.

中文翻译：

---

经皮利多卡因治疗围手术期疼痛：文献的系统评价。

审查目的

本综述的目的是总结围手术期研究，这些研究检查了经皮利多卡因（利多卡因贴剂）作为镇痛剂的作用，并将证据置于围手术期经皮利多卡因可能的总体益处的背景下。

最近的发现

过去 4 年发表的几项随机对照试验得出结论，透皮利多卡因可以减轻与腹腔镜套管针或套管插入相关的急性疼痛。

概括

经皮利多卡因可以减轻选定手术类型的术后短期疼痛，并且毒性风险低，但其在围手术期的整体临床效用值得怀疑。透皮利多卡因并不能持续减少手术后阿片类药物的消耗，也没有显示可以改善患者功能。