When local anesthesia becomes universal: Pronounced systemic effects of subcutaneous lidocaine in bullfrogs (Lithobates catesbeianus)

• Published in: Comparative biochemistry and physiology. Part A, Molecular & integrative physiology Vol. 209; pp. 41 - 46
• Main Authors: Williams, Catherine J.A., Alstrup, Aage K.O., Bertelsen, Mads F., Jensen, Heidi M., Leite, Cleo A.C., Wang, Tobias
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2017
• Subjects: Amino amides; Amphibian; amphibians; Analgesia; Anesthesia; Anesthesia, Local; Animals; benzocaine; blood pressure; catheters; fish; heart rate; Heart Rate - drug effects; hindlimbs; Injections, Subcutaneous; lidocaine; Lidocaine - pharmacology; Lithobates catesbeianus; Local anesthesia; local anesthetics; nociception; Nociception - drug effects; Rana catesbeiana - physiology; reflexes; respiratory rate; Respiratory Rate - drug effects; sedation; sedatives; sodium channels; subcutaneous injection; Systemic effects; Systemic effects; Analgesia; Anesthesia; Amino amides; Amphibian; Local anesthesia
• ISSN: 1095-6433; 1531-4332; 1531-4332
• DOI: 10.1016/j.cbpa.2017.03.019

Sodium channel blockers are commonly injected local anesthetics but are also routinely used for general immersion anesthesia in fish and amphibians. Here we report the effects of subcutaneous injection of lidocaine (5 or 50mgkg−1) in the hind limb of bullfrogs (Lithobates catesbeianus) on reflexes, gular respiration and heart rate (handled group, n=10) or blood pressure and heart rate via an arterial catheter (catheterized group n=6). 5mgkg−1 lidocaine did not cause loss of reflexes or change in heart rate in the handled group, but was associated with a reduction in gular respiratory rate (from 99±7 to 81±17breathsmin−1). 50mgkg−1 lidocaine caused a further reduction in respiratory rate to 59±15breathsmin−1, and led to a progressive loss of righting reflex (10/10 loss by 40min), palpebral reflex (9/10 loss at 70min), and contralateral toe pinch withdrawal (9/10 loss at 70min). Reflexes were regained over 4h. Systemic sedative effects were not coupled to local anti-nociception, as a forceps pinch test at the site of injection provoked movement at the height of the systemic effect (tested at 81±4min). Amphibians are routinely subject to general anesthesia via exposure to sodium channel blockers such as MS222 or benzocaine, however caution should be exercised when using local injectable lidocaine in amphibians, as it appears to dose-dependently cause sedation, without necessarily preventing local nociception for the duration of systemic effects.