title: Attenuation of arterial baroreflex control of renal sympathetic nerve activity during lidocaine infusion in alpha-chloralose-anesthetized dogs.
abstract: The purpose of this study was to identify the relationship between sensitivity of arterial baroreflex and plasma concentrations of lidocaine. Using twelve mongrel dogs anesthetized with alpha-chloralose, the left kidney was exposed retroperitoneally, and renal sympathetic nerve activity was recorded continuously. Lidocaine was infused in four different doses: 2 mg.kg BW-1 bolus + 100 micrograms.BW-1 x min; 3 mg.kg BW-1 bolus + 200 micrograms.kg BW-1 x min; 6 mg.kg BW-1 bolus + 400 micrograms.kg BW-1 x min; and 12 mg.kg BW-1 + 800 micrograms.kg BW-1 x min. Baroreflex depressor and pressor tests using sodium nitroprusside (5-10 micrograms.kg-1) and phenylephrine (2-4 micrograms.kg-1) were performed before and at 10 min after beginning lidocaine infusion. Plasma lidocaine concentrations determined by high performance liquid chromatography revealed that the steady-state levels were maintained during the baroreflex tests. Baroreflex sensitivity was preserved at plasma concentrations of lidocaine below 5 micrograms.ml-1. However, cardiac and sympathetic baroreflex sensitivity were significantly attenuated (P < 0.01) when plasma lidocaine concentrations were well above human convulsion levels (10 micrograms.ml-1). The results indicate that hemodynamic derangement observed in the lidocaine-induced central nervous system toxicity is, at least in part, due to the attenuated arterial baroreflex.
authors.affiliation: Department of Anesthesiology, University of Kansas Medical Center, Kansas City.
authors.forename: I
authors.initials: I
authors.lastname: Yoneda
authors.forename: M
authors.initials: M
authors.lastname: Nishizawa
authors.forename: K T
authors.initials: KT
authors.lastname: Benson
authors.forename: T L
authors.initials: TL
authors.lastname: Chaffee
authors.forename: H
authors.initials: H
authors.lastname: Goto
mesh_terms: D000818:Animals; D017704:Baroreflex / Q000502:physiology*; D002698:Chloralose; D004285:Dogs; D005260:Female; D007668:Kidney / Q000294:innervation*; D008012:Lidocaine / Q000008:administration & dosage* / Q000097:blood; D008297:Male; D013564:Sympathetic Nervous System / Q000502:physiology*
chemical_list: D002698:Chloralose; D008012:Lidocaine