The Effect of Systemic Lidocaine on Pain and Secondary Hyperalgesia Associated with the Heat/Capsaicin Sensitization Model in Healthy Volunteers
Anesthesia & AnalgesiaPublished 1 October 2000
Jesper Dirks, P. G. Fabricius, Karin L. Petersen, Michael C. Rowbotham, Jørgen B. Dahl
Citations100
SJR quartileQ1
SJR score1.16
SNIP1.63
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TL;DR
It is concluded that, at infusion rates in the low- to mid-antiarrhythmic range, lidocaine has no effect on acute nociceptive pain but does have a limited and selective effect on secondary hyperalgesia.
Abstract
The efficacy of systemic lidocaine in nonneuropathic pain remains uncertain. This study investigates the effect of systemic lidocaine on experimental-induced hyperalgesia in 25 volunteers. Hyperalgesia was induced by using an experimental pain model that uses heat and capsaicin in combination. Systemic lidocaine showed a selective effect on secondary hyperalgesia.
Keywords
Medicine
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NeuroreportA new human experimental pain model
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PainComputer-controlled lidocaine infusion for the evaluation of neuropathic pain after peripheral nerve injury
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AnesthesiologySystemic Lidocaine Blocks Nerve Injury-induced Hyperalgesia and Nociceptor-driven Spinal Sensitization in the Rat
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Journal of Pain and Symptom ManagementResponse to intravenous lidocaine infusion predicts subsequent response to oral mexiletine: A prospective study
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The results suggest that IVL may be a valuable tool in selecting patients for oral therapy with analogous drugs in a prospective study of nine subjects with chronic neuropathic pain of peripheral origin.
AnesthesiologyConcentration-effect Relations for Intravenous Lidocaine Infusions in Human Volunteers
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AnesthesiologyLow-dose Lidocaine Suppresses Experimentally Induced Hyperalgesia in Humans
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increasing painfulness during sustained pinching has been attributed to excitation and simultaneous sensitization of particular A and C‐nociceptors, and this hyperalgesic mechanism seems to be particularly sensitive to low concentrations of lidocaine.
European Journal of PainSystemic local‐anaesthetic‐type drugs in chronic pain: A systematic review
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Journal of Cardiothoracic and Vascular AnesthesiaLidocaine and the inhibition of postoperative pain in coronary artery bypass patients
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Journal of Pain and Symptom ManagementSystemic local anesthetics in pain control
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The pharmacology of local anesthetics and the medical literature describing the analgesic consequences of systemic administration are critically evaluated to support their analgesic effect in selected pain syndromes.
AnesthesiologyLidocaine as an Analgesic for Experimental Pain
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The data suggest that lidocaine at these blood levels produces sedation but not analgesia, and no statistically significant difference in analgesia between the control and lidocane values for threshold or tolerance was observed at blood levels from 1 to 3 μg/ml.
British Journal of AnaesthesiaDifferential effects of systemically administered ketamine and lidocaine on dynamic and static hyperalgesia induced by intradermal capsaicin in humans
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British Journal of AnaesthesiaEFFECT OF I.V. LIGNOCAINE ON PAIN AND THE ENDOCRINE METABOLIC RESPONSES AFTER SURGERY
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