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CompletedNCT02707081Updated Mar 14, 2016

Efficacy of Intraperitoneal Versus Intravenous Lidocaine for Postcesarean Pain Relief

A Phase 2/3 interventional study of Intravenous normal saline and Intraperitoneal normal saline in Postcesarean Pain Relief, sponsored by Benha University. Completed. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2016-03-14.

Sponsored by Benha University · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Objective: To evaluate intraperitoneal (IP) lidocaine administration and intravenous (IV) lidocaine infusion for postoperative pain control after cesarean section.

Study design: prospective randomized, double-blind, placebo-controlled study. Patients and methods: Initially, 165 pregnant full-term females, indicated to be underwent elective cesarean delivery for various indications were randomized equally to either group C (control, IP and IV saline), group IP (intraperitoneal lidocaine administration), or group IV (intravenous lidocaine infusion).Five patients were excluded from each group for various reasons. The outcome measures were postoperative pain scoring, total pethidine consumption and the need for postoperative analgesia.

02

Conditions studied

  • Postcesarean Pain Relief
03

In context

Lead sponsor

Benha University is the lead sponsor of 356 studies on the registry; 68 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Singleton pregnancy, more than or equal completed 37 gestational weeks, indicated to undergo elective cesarean delivery for various indications

Exclusion criteria

Exclusion Criteria:

  • extreme of age (below 18 or above 40 year), uncooperative patients, women under spinal anesthesia, previous abdominal scars, including previous cesarean or myomectomy, multiple gestation, BMI >35 kg/m², chorioamnionitis, hypersensitivity or contraindications to lidocaine, bronchial asthma, bleeding diathesis, pregnancy induced-hypertension, liver or kidney diseases, diabetes mellitus, and patients with psychological disturbance, or any form of chronic pain before or during pregnancy.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
150 participants (actual)

Study arms

  • Placebo comparator
    Placebo control group

    Saline was given both intraperitoneally and intravenously during caesarean section

    Drug: Intravenous normal saline · Drug: Intraperitoneal normal saline

  • Active comparator
    Intraperitoneal instillation group

    Patients received 1.75 ml/kg of 0.2% lidocaine (3.5mg/kg) with parietal peritoneal closure with intravenous normal saline in a volume equivalent to that used in intravenous lidocaine group as placebo to ensure blinding.

    Drug: Intravenous normal saline · Drug: Intraperitoneal Lidocaine

  • Active comparator
    Intravenous injection group

    Patients received 1.5mg/kg of intravenous 1% lidocaine as bolus dose at induction and 2mg/kg/hour as continuous infusion of intravenous lidocaine until one hour after surgery and 100 ml of saline intraperitoneally as placebo to ensure blinding

    Drug: Intraperitoneal normal saline · Drug: Intravenous Lidocaine

Interventions

  • DrugIntravenous normal saline

    Normal saline in a volume equivalent to that used in intravenous lidocaine group

    Also known as: IV Saline

  • DrugIntraperitoneal normal saline

    Patients received 00 ml of saline intraperitoneally

    Also known as: IP Saline

  • DrugIntraperitoneal Lidocaine

    Patients received 1.75 ml/kg of 0.2% lidocaine (3.5mg/kg) with parietal peritoneal closure.

    Also known as: IP Lidocaine

  • DrugIntravenous Lidocaine

    Patients received 1.5mg/kg of intravenous 1% lidocaine as bolus dose at induction and 2mg/kg/hour as continuous infusion of intravenous lidocaine until one hour after surgery.

    Also known as: IV Lidocaine

06

What researchers measure

Primary outcomes

  1. Postoperative pain scoring (number)

    Time frame: First 24 hours postoperative

Secondary outcomes

  1. The need for rescue postoperative analgesia.

    Time frame: First 24 hours postoperative

  2. Total pethidine consumption in 24 hours (mg)

    Time frame: First 24 hours postoperative

  3. The time to bowel sounds, hours

    Time frame: First 3 days postoperative

  4. The time to start regular diet, days

    Time frame: First 3 days postoperative

  5. Duration of hospital stay , days

    Time frame: First 3 days postoperative

  6. Any reported side effects

    Time frame: First 3 days postoperative

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02707081
Lead sponsor
Benha University
Responsible party
Ahmed Walid Anwar Murad (Assistant Professor, Benha University) — Principal investigator
First posted
Mar 14, 2016
Start date
Jun 2013
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Mar 14, 2016
View the source record on ClinicalTrials.gov ↗

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