Serum Concentrations of Lidocaine During Bariatric Surgery

Anesth Analg. 2020 Jan;130(1):e5-e8. doi: 10.1213/ANE.0000000000003905.

Abstract

Lidocaine has been shown to be clinically beneficial during bariatric surgery. However, information about lidocaine serum concentrations in this setting is scarce. This prospective clinical trial included 42 obese patients undergoing laparoscopic bariatric surgery. They received lidocaine based on adjusted body weight. Administration began with a 1.5 mg·kg bolus of intravenous lidocaine followed by a continuous infusion of 2 mg·kg·hour. After skin closure, administration was decreased to 1 mg·kg·hour until discharge from the recovery room. No serum concentrations of lidocaine were outside the usual accepted range (1.5-5 µg·mL).

Trial registration: ClinicalTrials.gov NCT02525016.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / adverse effects
  • Anesthetics, Local / blood*
  • Body Mass Index
  • Drug Administration Schedule
  • Drug Dosage Calculations
  • Drug Monitoring
  • Female
  • France
  • Gastrectomy*
  • Gastric Bypass*
  • Humans
  • Infusions, Intravenous
  • Laparoscopy*
  • Lidocaine / administration & dosage
  • Lidocaine / adverse effects
  • Lidocaine / blood*
  • Male
  • Middle Aged
  • Obesity / blood
  • Obesity / diagnosis
  • Obesity / surgery*
  • Prospective Studies
  • Time Factors

Substances

  • Anesthetics, Local
  • Lidocaine

Associated data

  • ClinicalTrials.gov/NCT02525016