Regional anesthesia

Neural correlates of systemic lidocaine administration in healthy adults measured by functional MRI: a single arm open label study

Br J AnaesthPublished Single-arm open-label functional MRI study

Authors' conclusion

Lidocaine was associated with broad reductions in functional MRI response to acute pain and modulated whole-brain functional connectivity, predominantly decreasing long-range connectivity. This was accompanied by small but significant decreases in pain perception and memory performance.

Study context

Population
Healthy adults (age 22–55 yr)crossover: baseline then lidocaine
Participants
27 adults
Comparison
Lidocaine vs baseline
Outcome
Group-level differences in pain task-evoked responses, focused on the insula, between baseline and lidocaine conditions

Main finding

As reported in the abstract

Pain-evoked responses in the insula
Left insula: decreased with lidocaine, Z=3.6
P<0.001
Right insula: decreased with lidocaine, Z=3.6
P=0.004

Further findings

Pain-evoked responses in other brain areas

Decreased in cingulate gyrus, thalamus and primary sensory cortex with lidocaine

Resting-state connectivity

Significant diffuse reductions in region-to-region and global connectivity with lidocaine

Pain intensity and unpleasantness

Small decreases with lidocaine

Original publication

Neural correlates of systemic lidocaine administration in healthy adults measured by functional MRI: a single arm open label study. Br J Anaesth. Published 21 October 2024. doi:10.1016/j.bja.2024.07.039

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