Page last updated: 2024-10-28

lidocaine and Obesity

lidocaine has been researched along with Obesity in 25 studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
"This study aimed to determine whether the application of lidocaine patches around the cesarean incision in women with obesity reduces the total dose of opioids administered in the first 24 hours after cesarean delivery."5.41Lidocaine patches for postcesarean pain control in obese women: a pilot randomized controlled trial. ( Adams, JH; Antony, KM; Chappell, RJ; Gnadt, SE; Hetzel, S; Jacques, L; Tevaarwerk, AJ, 2021)
" access, and blood sampling pain and stress affect hormone values, treatment with N(2)O or midazolam influence the glucose and stress hormone levels differently."5.16Effects of midazolam and nitrous oxide on endocrine and metabolic measurements in children. ( Ekbom, K; Jakobsson, J; Kalman, S; Marcus, C, 2012)
"Intranasal lidocaine reduced hunger and the desire to eat, but this did not translate into a significant reduction in food intake suggesting that intranasal lidocaine will not have value in treating obesity."5.12Using intranasal lidocaine to reduce food intake. ( Caruso, MK; Cowley, MA; Cruickshank, S; DeYoung, L; Dumas, K; England, M; Greenway, FL; Gupta, AK; Kamdar, K; Laidlaw, BJ; Martin, CK; Roberts, AT; Rogers, B; Whitehouse, J, 2007)
"The foreskin-deglove plus shaft-fix procedure under local anesthesia with lidocaine and ropivacaine mesylate may achieve desirable penile erection and appearance in the treatment of phimosis or redundant prepuce in obese adult patients."3.83[Circumcision versus the foreskin-deglove plus shaft-fix procedure for phimosis or redundant prepuce in obese adult patients]. ( Chen, XY; Li, RB; Sun, X; Wang, YM; Wen, XF; Zhou, L, 2016)
"Sufentanil has been widely used to inhibit the hemodynamic responses caused by tracheal intubation."3.30Intravenous Lidocaine Decreased the Median Effective Concentration of Sufentanil for Tracheal Intubation in Obese Patients. ( He, C; Jia, D; Tu, F; Yuan, X, 2023)
"Lidocaine has been shown to be clinically beneficial during bariatric surgery."2.94Serum Concentrations of Lidocaine During Bariatric Surgery. ( Bouffard, Y; Carabalona, JF; Citterio-Quentin, A; Delwarde, B; Duclos, A; Le Goff, MC; Moulsma, M; Rimmelé, T, 2020)
"Local anesthetic inguinal hernia repair in the obese is safe and well tolerated."1.35Local anesthetic hernia repair in overweight and obese patients. ( Reid, TD; Sanjay, P; Woodward, A, 2009)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19907 (28.00)18.7374
1990's1 (4.00)18.2507
2000's4 (16.00)29.6817
2010's5 (20.00)24.3611
2020's8 (32.00)2.80

Authors

AuthorsStudies
Jia, D1
Yuan, X1
He, C1
Tu, F1
Al Nebaihi, HM1
Al Batran, R1
Ussher, JR1
Maayah, ZH1
El-Kadi, AOS1
Brocks, DR1
Tovikkai, P1
Rogers, SJ1
Cello, JP1
Mckay, RE1
Plass, F1
Nicolle, C1
Zamparini, M1
Al Issa, G1
Fiant, AL1
Le Roux, Y1
Gérard, JL1
Fischer, MO1
Alvès, A1
Hanouz, JL1
Li, X1
Lv, X1
Jiang, Z1
Nie, X1
Wang, X1
Li, T1
Zhang, L1
Liu, S1
Baek, SY1
Kim, JW1
Kim, TW1
Han, W1
Lee, DE1
Ryu, KH1
Park, SG1
Jeong, CY1
Park, DH1
Antony, KM1
Adams, JH1
Jacques, L1
Hetzel, S1
Chappell, RJ1
Gnadt, SE1
Tevaarwerk, AJ1
Carabalona, JF1
Delwarde, B1
Duclos, A1
Le Goff, MC1
Moulsma, M1
Citterio-Quentin, A1
Bouffard, Y1
Rimmelé, T1
Jung, GS1
Chen, XY1
Wen, XF1
Li, RB1
Zhou, L1
Sun, X1
Wang, YM1
Reid, TD1
Sanjay, P1
Woodward, A1
Wells, JH1
Hurvitz, KA1
Ekbom, K1
Kalman, S1
Jakobsson, J1
Marcus, C1
Xiong, XQ1
Chen, WW1
Han, Y1
Zhou, YB1
Zhang, F1
Gao, XY1
Zhu, GQ1
DEJONG, RH1
Greenway, FL1
Martin, CK1
Gupta, AK1
Cruickshank, S1
Whitehouse, J1
DeYoung, L1
Kamdar, K1
Caruso, MK1
Roberts, AT1
England, M1
Dumas, K1
Laidlaw, BJ1
Rogers, B1
Cowley, MA1
Varela, C1
Palacio, F1
Reina, MA1
López, A1
Benito-León, J1
Tsui, BC1
Dillane, D1
Yee, MS1
Abernethy, DR1
Greenblatt, DJ1
Large, V1
Reynisdottir, S1
Eleborg, L1
van Harmelen, V1
Strömmer, L1
Arner, P1
Fox, GS1
Doherty, JE1
Mantse, L1
Fisher, J1
James, ML1
Holland, MJ1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Intraoperative Lidocaine Infusion and Intraoperative Lidocaine Combined With Ketamine Infusion on Opioid Consumption After Laparoscopic Bariatric Surgery: A Randomized Controlled Trial[NCT04524130]Phase 487 participants (Anticipated)Interventional2021-04-01Active, not recruiting
Transdermal Lidocaine Patch for Post-Cesarean Pain Control for Women With Obesity: a Single-blind Randomized Controlled Trial[NCT03810235]Phase 466 participants (Actual)Interventional2019-02-15Completed
Safety Profile of IntRAvenous Lidocaine Use in Coelioscopic Bariatric Surgery[NCT02525016]Phase 350 participants (Actual)Interventional2015-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Dose Opioids (Measured in Total Morphine Milligram Equivalents (mg) of All Pills) Prescribed at Discharge

Dose opioids (measured in total morphine milligram equivalents (mg) of all pills) prescribed at discharge (NCT03810235)
Timeframe: up to 72 hours

InterventionMME (mg) (Mean)
Transdermal Lidocaine Patch168.35
Transdermal Hydrocolloid Placebo Patch154.10

Length of Hospital Stay

Measured in hours from admission to time of discharge This will be measured in hours from the documented time of admission until discharge (NCT03810235)
Timeframe: up to 120 hours

Interventionhours (Median)
Transdermal Lidocaine Patch75.5
Transdermal Hydrocolloid Placebo Patch76

Neonatal Outcomes: Gestational Age at Delivery

Gestational age at delivery will be recorded as weeks and days of gestation (NCT03810235)
Timeframe: up to 24 hours

Interventionweeks (Mean)
Transdermal Lidocaine Patch38.7
Transdermal Hydrocolloid Placebo Patch38.85

Number of Opioid Pills Prescribed at Discharge

The number of opioid pills prescribed at discharge (NCT03810235)
Timeframe: up to 72 hours

InterventionNumber of pills (Mean)
Transdermal Lidocaine Patch17.3
Transdermal Hydrocolloid Placebo Patch16.0

Number of Participants With Complications of Lidocaine Use

"Complications of lidocaine use include local burning, nausea, dizziness, drowsiness, serious skin reactions such as blistering, confusion, blurred vision, ringing in the ears, and allergies and hypersensitivities.~Definition: Patient reported side effects which will be reported as frequencies of occurrence. (These will be reported as dichotomous Yes/No outcomes for each side effect)" (NCT03810235)
Timeframe: up to 6 weeks postpartum

InterventionParticipants (Count of Participants)
Transdermal Lidocaine Patch2
Transdermal Hydrocolloid Placebo Patch4

Number of Participants With Opioid-related Side Effects

"Patient-reported opioid-related side effects include pruritis, constipation, nausea, and mental clouding.~Definition: Patient reported side effects which will be reported as frequencies of occurrence. (These will be reported as dichotomous Yes/No outcomes for each side effect)" (NCT03810235)
Timeframe: up to 6 weeks postpartum

InterventionParticipants (Count of Participants)
Transdermal Lidocaine Patch2
Transdermal Hydrocolloid Placebo Patch4

Number of Participants With Postoperative Complications

"Includes urinary tract infections, thromboembolic events, pneumonia, postpartum blood transfusions, falls, myocardial infarctions.~These events will be reported as frequencies of occurrence. (These will be reported as dichotomous Yes/No outcomes for each side effect)" (NCT03810235)
Timeframe: up to 120 hours

InterventionParticipants (Count of Participants)
Transdermal Lidocaine Patch0
Transdermal Hydrocolloid Placebo Patch0

Time to First Rescue Opioid Analgesic Medication

Measured in minutes from arrival in the post-anesthesia care unit (PACU) until the first as needed opioid dose is administered. This will be recorded in minutes from the time of the surgery completion (surgery end time) until the first opioid analgesic medication is administered. Data in table is noted in hours. (NCT03810235)
Timeframe: up to 24 hours

Interventionhours (Median)
Transdermal Lidocaine Patch1.4
Transdermal Hydrocolloid Placebo Patch1.7

Total Dose of Opioids During the Whole Hospitalization.

All opioid doses will be converted into oral morphine equivalents. This will be recorded as the total dose of opioids received during the hospitalization (following surgery) calculated as oral morphine equivalents. (NCT03810235)
Timeframe: up to 120 hours

InterventionMME, morphine milligram equivalents (Median)
Transdermal Lidocaine Patch200
Transdermal Hydrocolloid Placebo Patch192

Total Dose of Opioids Received in the First 24 Hours Following Cesarean

The total dose of opioids received in the first 24 hours following Cesarean delivery measured as oral morphine equivalents. This total dose will be calculated for every subject in the study, and the average and standard deviation (or appropriate non-parametric values if the data is not normally distributed) will be compared between the subjects randomized to the intervention arm and the placebo arm of the study. (NCT03810235)
Timeframe: up to 24 hours

InterventionMME, morphine milligram equivalents (Mean)
Transdermal Lidocaine Patch87
Transdermal Hydrocolloid Placebo Patch83.9

Total Dose of Opioids Used in the First 48 Hours Post-operatively

All opioid doses will be converted into oral morphine equivalents. This will be recorded as the total dose of opioids received in 48 hours following surgery calculated as oral morphine equivalents (NCT03810235)
Timeframe: up to 48 hours

InterventionMME, morphine milligram equivalents (Mean)
Transdermal Lidocaine Patch149.3
Transdermal Hydrocolloid Placebo Patch139.0

Post-operative Pain Score at 24 Hours Post-operatively

The post-operative pain score at 24 hours post-operatively will be measured using the numeric rating scale (NRS), wherein subjects rate pain on a 0-10 scale (10 meaning the most pain and 0 meaning no pain). The median NRS score at 24 hours will be compared between the two groups. (NCT03810235)
Timeframe: up to 24 hours

,
Interventionscore on a scale (Median)
Median Pain Score (0-10)Pre pregnancy BMI 30-39.9Prepregancy BMI >40Delivery BMI 30 -39.9Delivery BMI >40
Transdermal Hydrocolloid Placebo Patch3.53.04.03.04.0
Transdermal Lidocaine Patch3.03.04.03.03.0

Reviews

1 review available for lidocaine and Obesity

ArticleYear
Clinical use of digitalis glycosides. An update.
    Cardiology, 1985, Volume: 72, Issue:5-6

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Age Factors; Anti-Arrhythmia Agents; Antihyperten

1985

Trials

8 trials available for lidocaine and Obesity

ArticleYear
Intravenous Lidocaine Decreased the Median Effective Concentration of Sufentanil for Tracheal Intubation in Obese Patients.
    Drug design, development and therapy, 2023, Volume: 17

    Topics: Humans; Intubation, Intratracheal; Lidocaine; Obesity; Propofol; Saline Solution; Sufentanil

2023
Effect of intra-operative intravenous lidocaine on opioid consumption after bariatric surgery: a prospective, randomised, blinded, placebo-controlled study.
    Anaesthesia, 2021, Volume: 76, Issue:2

    Topics: Adult; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Dou

2021
Application of Intravenous Lidocaine in Obese Patients Undergoing Painless Colonoscopy: A Prospective, Randomized, Double-Blind, Controlled Study.
    Drug design, development and therapy, 2020, Volume: 14

    Topics: Adolescent; Adult; Aged; Anesthetics, Intravenous; Colonoscopy; Double-Blind Method; Female; Humans;

2020
Lidocaine patches for postcesarean pain control in obese women: a pilot randomized controlled trial.
    American journal of obstetrics & gynecology MFM, 2021, Volume: 3, Issue:1

    Topics: Female; Humans; Lidocaine; Obesity; Pain Measurement; Pain, Postoperative; Pilot Projects; Pregnancy

2021
Serum Concentrations of Lidocaine During Bariatric Surgery.
    Anesthesia and analgesia, 2020, Volume: 130, Issue:1

    Topics: Adult; Anesthetics, Local; Body Mass Index; Drug Administration Schedule; Drug Dosage Calculations;

2020
Effects of midazolam and nitrous oxide on endocrine and metabolic measurements in children.
    Hormone research in paediatrics, 2012, Volume: 77, Issue:5

    Topics: Adolescent; Anesthetics, Local; Blood Glucose; Blood Specimen Collection; Catheterization, Periphera

2012
Using intranasal lidocaine to reduce food intake.
    International journal of obesity (2005), 2007, Volume: 31, Issue:5

    Topics: Administration, Intranasal; Adult; Anesthetics, Local; Dose-Response Relationship, Drug; Double-Blin

2007
Blood gas changes during spinal and epidural analgesia.
    Anaesthesia, 1969, Volume: 24, Issue:4

    Topics: Adult; Aged; Anesthesia, Conduction; Anesthesia, General; Anesthesia, Spinal; Carbon Dioxide; Cardia

1969

Other Studies

16 other studies available for lidocaine and Obesity

ArticleYear
Dietary-Induced Obesity, Hepatic Cytochrome P450, and Lidocaine Metabolism: Comparative Effects of High-Fat Diets in Mice and Rats and Reversibility of Effects With Normalization of Diet.
    Journal of pharmaceutical sciences, 2020, Volume: 109, Issue:2

    Topics: Animals; Cytochrome P-450 CYP3A; Cytochrome P-450 Enzyme System; Diet, High-Fat; Female; Lidocaine;

2020
Intraoperative lidocaine infusion and 24-hour postoperative opioid consumption in obese patients undergoing laparoscopic bariatric surgery.
    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2020, Volume: 16, Issue:8

    Topics: Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Humans; Laparoscopy; Lidocaine; Obesity;

2020
Opioid-free anesthesia with a mixture of dexmedetomidine, ketamine, and lidocaine in one syringe for surgery in obese patients.
    The Journal of international medical research, 2020, Volume: 48, Issue:10

    Topics: Analgesics, Opioid; Anesthesia; Cesarean Section; Dexmedetomidine; Double-Blind Method; Female; Huma

2020
Effectiveness of Local Fat-Dissolving Solution Injection.
    Aesthetic surgery journal, 2019, 04-08, Volume: 39, Issue:5

    Topics: Adipose Tissue; Adult; Aminophylline; Ascorbic Acid; Body Mass Index; Carnitine; Cheek; Drug Combina

2019
[Circumcision versus the foreskin-deglove plus shaft-fix procedure for phimosis or redundant prepuce in obese adult patients].
    Zhonghua nan ke xue = National journal of andrology, 2016, Volume: 22, Issue:3

    Topics: Adult; Amides; Anesthetics, Local; Body Mass Index; Circumcision, Male; Foreskin; Humans; Lidocaine;

2016
Local anesthetic hernia repair in overweight and obese patients.
    World journal of surgery, 2009, Volume: 33, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia, Local; Anesthetics, Local; Body Mass Index;

2009
An evidence-based approach to liposuction.
    Plastic and reconstructive surgery, 2011, Volume: 127, Issue:2

    Topics: Adult; Anesthetics, Local; Comorbidity; Diabetes Mellitus, Type 2; Evidence-Based Medicine; Female;

2011
Enhanced adipose afferent reflex contributes to sympathetic activation in diet-induced obesity hypertension.
    Hypertension (Dallas, Tex. : 1979), 2012, Volume: 60, Issue:5

    Topics: Adipose Tissue, White; Angiotensin II; Animals; Blood Pressure; Capsaicin; Diet, High-Fat; Diterpene

2012
ARTERIAL CARBON DIOXIDE AND OXYGEN TENSIONS DURING SPINAL BLOCK.
    JAMA, 1965, Mar-01, Volume: 191

    Topics: Anesthesia, Conduction; Anesthesia, Obstetrical; Anesthesia, Spinal; Blood Gas Analysis; Carbon Diox

1965
[Horner's syndrome secondary to epidural anesthesia].
    Neurologia (Barcelona, Spain), 2007, Volume: 22, Issue:3

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthetics, Local; Arm; Bupivacaine; Cesarean

2007
Patient-controlled oral airway insertion to facilitate awake fibreoptic intubation.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2008, Volume: 55, Issue:3

    Topics: Anesthetics, Local; Fiber Optic Technology; Humans; Intubation, Intratracheal; Laryngeal Masks; Lido

2008
Lidocaine disposition in obesity.
    The American journal of cardiology, 1984, Apr-01, Volume: 53, Issue:8

    Topics: Adult; Female; Humans; Infusions, Parenteral; Kinetics; Lidocaine; Male; Obesity

1984
Lipolysis in human fat cells obtained under local and general anesthesia.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1997, Volume: 21, Issue:1

    Topics: Abdomen; Adenylyl Cyclases; Adipocytes; Adrenergic beta-Agonists; Adult; Anesthesia, General; Anesth

1997
Anaesthesia for intestinal short circuiting in the morbidly obese with reference to the pathophysiology of gross obesity.
    Canadian Anaesthetists' Society journal, 1975, Volume: 22, Issue:3

    Topics: Anesthesia, Epidural; Anesthesia, General; Epinephrine; Humans; Intestines; Intubation, Intratrachea

1975
Liposuction under local anesthesia: a retrospective analysis of 100 patients.
    The Journal of dermatologic surgery and oncology, 1987, Volume: 13, Issue:12

    Topics: Adipose Tissue; Adult; Aged; Ambulatory Surgical Procedures; Anesthesia, Local; Female; Humans; Lido

1987
The effect of bovine anterior pituitary extract on lipid mobilization in the rat and man.
    The Journal of endocrinology, 1969, Volume: 44, Issue:3

    Topics: Adipose Tissue; Animals; Epididymis; Fasting; Fatty Acids, Nonesterified; Female; Humans; Lidocaine;

1969