Cochrane · systematic review · CD006581

Adjusting the pH of lidocaine for reducing pain on injection

Cepeda M Soledad, Tzortzopoulou Aikaterini, Thackrey Michael, et al. · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library

AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 33.3%High 2 · 66.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Plain lidocaine compared to buffered lidocaine for patients requiring local anaesthesia

Population: Patients requiring local anaesthesia
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain at injection site VAS. Scale from 0 to 10.
Plain lidocaine vs buffered lidocaine
no estimate extracted7 studies · 685 participantsModerate
Downgraded: risk of bias, inconsistency
Preference
Plain lidocaine vs buffered lidocaine
OR 3.01 [1.19, 4.15]8 studies · 346 participantsHigh
Adverse events
Plain lidocaine vs buffered lidocaine
no estimate extracted3 studies · 182 participantsHigh