M. Naskret et al., The influence of lidocaine on the permeability of the blood-cerebrospinal fluid barrier in experimental acute hypercapnia in the rabbit, ACT NEUROB, 61(2), 2001, pp. 77-84
In a previous study we have provided evidence, that acute experimental hype
rcapnia due to hypoventilation in the rabbit alters blood-cerebrospinal flu
id barrier function in the brain (Pakulski et al. 1998). The purpose of thi
s study therefore was to determine if lidocaine would prevent the observed
alterations in the blood-cerebrospinal fluid barrier function. The experime
nts were conducted in 16 adult Chinchilla rabbits submitted to acute hyperc
apnia due to mechanical hypoventilation (PaCO2 between 8 - 9.5 kPa over 180
minutes) under pentobarbital anaesthesia. The studied group (n = 8) was tr
eated by lidocaine infusion 10 mg kg(-1) h(-1). After 180 minutes of hyperc
apnia the value of cerebrospinal fluid-blood index of gentamycin concentrat
ion, indicating the permeability of the blood-cerebrospinal fluid barrier,
was significantly lower in animals treated with lidocaine (4.03 +/- 2.32 vs
. 19.05 +/- 5.49; P < 0.01). We conclude that lidocaine may attenuate the i
ncrease of blood-cerebrospinal fluid barrier permeability under conditions
of experimental acute hypercapnia lasting 180 minutes in the mechanically v
entilated rabbit.