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Not yet recruitingPhase 4

Perioperative Lidocaine for Lung Protection in Infants Undergoing Cardiac Surgery

Key facts

Phase
Phase 4

This trial has no sites in United States.

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Trial details

Who runs it
The Children's Hospital of Zhejiang University School of Medicine
Trial code
NCT07499154
Record updated
30 March 2026
Original description
Cardiopulmonary bypass-associated pulmonary injury is a common complication after infant cardiac surgery and may contribute to impaired oxygenation, prolonged mechanical ventilation, and longer intensive care stay. Lidocaine has anti-inflammatory and membrane-stabilizing properties and may attenuate perioperative lung injury. This investigator-initiated, randomized, placebo-controlled, double-blind trial will evaluate whether perioperative intravenous lidocaine reduces postoperative pulmonary injury in infants undergoing corrective non-palliative congenital cardiac surgery with cardiopulmonary bypass.Read full original descriptionShow less

Evaluation of the Effect of Perioperative Lidocaine Administration on Reducing Pulmonary Injury in Infants Following Cardiac Surgery: A Randomized, Placebo-Controlled, Double-Blind, Multi-center Superiority Trial.

Cardiopulmonary bypass-associated pulmonary injury is a common complication after infant cardiac surgery and may contribute to impaired oxygenation, prolonged mechanical ventilation, and longer intensive care stay. Lidocaine has anti-inflammatory and membrane-stabilizing properties and may attenuate perioperative lung injury. This investigator-initiated, randomized, placebo-controlled, double-blind trial will evaluate whether perioperative intravenous lidocaine reduces postoperative pulmonary injury in infants undergoing corrective non-palliative congenital cardiac surgery with cardiopulmonary bypass.

Inclusion: Infants aged 0 to 12 months; Congenital heart disease requiring corrective, non-palliative cardiac surgery with cardiopulmonary bypass; American Society of Anesthesiologists (ASA) physical status I to III; Written informed consent provided by parent(s) or legal guardian(s).

Exclusion: Concomitant continuous infusion of another local anesthetic; Central nervous system disorders that may increase susceptibility to lidocaine neurotoxicity, including epilepsy or prior central nervous system infection; Use of medications that may interact with lidocaine or constitute an exclusion, including class I or class III antiarrhythmic agents, cimetidine, or antiviral drugs, as determined by the clinical team; Known or suspected allergy to lidocaine; Conditions associated with increased risk of lidocaine accumulation or toxicity, including severe conduction block or severe bradycardia; Significant pre-existing pulmonary disease or markedly impaired preoperative pulmonary function; Multiple malformations, chromosomal abnormalities, or immunodeficiency; ASA physical status IV or higher; Severe malnutrition expected to substantially impair postoperative recovery; Severe hepatic or renal dysfunction; Current or recent participation in another interventional clinical trial in its active intervention phase.

ClinicalTrials.gov NCT07499154