title: When local anesthesia becomes universal: Pronounced systemic effects of subcutaneous lidocaine in bullfrogs (Lithobates catesbeianus).
abstract: 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-1lidocaine 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-1lidocaine 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.
authors.affiliation: Section of Zoophysiology, Aarhus University, Aarhus, Denmark. Electronic address: Catherine.williams@bios.au.dk.
authors.forename: Catherine J A
authors.initials: CJA
authors.lastname: Williams
authors.affiliation: Department of Nuclear Medicine & PET-center, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Aage K O
authors.initials: AKO
authors.lastname: Alstrup
authors.affiliation: Department of Zoo and Wildlife Health, Copenhagen Zoo, Copenhagen, Denmark.
authors.forename: Mads F
authors.initials: MF
authors.lastname: Bertelsen
authors.affiliation: Section of Zoophysiology, Aarhus University, Aarhus, Denmark.
authors.forename: Heidi M
authors.initials: HM
authors.lastname: Jensen
authors.affiliation: Department of Physiological Sciences (INCT in Comparative Physiology), UFSCar, São Carlos, Brazil.
authors.forename: Cleo A C
authors.initials: CAC
authors.lastname: Leite
authors.affiliation: Section of Zoophysiology, Aarhus University, Aarhus, Denmark.
authors.forename: Tobias
authors.initials: T
authors.lastname: Wang
mesh_terms: D000772:Anesthesia, Local; D000818:Animals; D006339:Heart Rate / Q000187:drug effects; D007279:Injections, Subcutaneous; D008012:Lidocaine / Q000494:pharmacology*; D059225:Nociception / Q000187:drug effects; D011892:Rana catesbeiana / Q000502:physiology*; D056152:Respiratory Rate / Q000187:drug effects
chemical_list: D008012:Lidocaine
keywords: Amino amides; Amphibian; Analgesia; Anesthesia; Local anesthesia; Systemic effects