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Effect of intravenous, perioperative-administered lidocaine on serum levels of endocannabinoids and related N-acylethanolamines in children

Barbara Kościelniak-Merak, Ilona Batko, Mariusz Fleszar, Magdalena Kocot-Kępska, Andrzej Gamian, Krzysztof Kobylarz, Krystyna Sztefko, Przemysław J Tomasik. Minerva Anestesiol. 2020 Jan;86(1):38-46.

Controlled trialHumans

Design
Controlled trial
Subjects
44 children having extensive spinal surgery (23 given intravenous lidocaine, 21 not) and 23 healthy matched children
Dose used in the study
No palmitoylethanolamide was given; intravenous lidocaine as a co-analgesic during anaesthesia
Duration
Blood sampled before surgery, immediately after, at 6 hours and the next morning
What was measured
Serum anandamide, 2-arachidonoylglycerol, palmitoylethanolamide and oleoylethanolamide by liquid chromatography-mass spectrometry.

What the authors reported

Levels were similar in controls and patients before surgery. After surgery the lidocaine group had higher anandamide and lower 2-AG than the non-lidocaine group. Palmitoylethanolamide peaked in the lidocaine group 6 hours after surgery and was higher than in the non-lidocaine group at that time (P=0.0003).

Limits of this study

A measurement study of endogenous levels in children; no PEA was given. Allocation to lidocaine is not described as randomised in the abstract. Funding and conflicts not stated in the abstract.

Source

PubMed 31630508 · doi:10.23736/S0375-9393.19.13703-0

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.