Does intravenous lidocaine associated with spinal anesthesia reduce post-operative pain after C-Section? The i-Lido-CA Trial

Postoperative pain associated with Cesarean sections has significant socioeconomic implications, including potential risks of chronic pain and postpartum depression. Effective pain management improves recovery and maternal well-being, especially in Enhanced Recovery After Cesarean Surgery (ERACS). Spinal anesthesia is commonly used for cesarean sections, but it can lead to side effects such as nausea and vomiting. The management of postoperative pain involves multimodal analgesia, such as intrathecal opioids and non-opioid analgesics. To address these issues and enhance postoperative recovery, various medications and techniques have been explored, including intravenous lidocaine. We aim in this research study to evaluate the analgesic and hemodynamic benefits of intravenous lidocaine for cesarean section under spinal anesthesia.