• 제목/요약/키워드: Adrenaline

검색결과 63건 처리시간 0.03초

Comparison of clinical efficacy of ropivacaine and lignocaine with adrenaline for implant surgery anesthesia: a split-mouth randomized controlled clinical trial

  • Kalath, Remya Nath;Kulal, Rithesh;Gopinath, Sharika
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권4호
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    • pp.337-344
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    • 2021
  • Background: The primary indication for using long-acting anesthetics in dentistry is extensive dental procedures that require pulpal anesthesia beyond 90 min and management of postoperative pain. Ropivacaine is an amide local anesthetic that is available at various concentrations with inherent vasoconstrictive properties at low concentrations. Ropivacaine has a 75% greater margin of safety than bupivacaine. Ropivacaine can be a good alternative to bupivacaine as a local anesthetic in dental implant surgery as it provides a longer duration of both pulpal and soft tissue anesthesia after mandibular nerve block and lowers CNS and cardiovascular toxicity. This study aimed to evaluate and compare the clinical efficacy of ropivacaine and lignocaine for implant surgery anesthesia. Methods: Fifteen patients with bilateral edentulous sites indicated for implant placement were recruited for this study. Patients aged 20-60 years of both sexes were randomly recruited. Thirty implant placements were performed in the test and control groups using ropivacaine and lignocaine with adrenaline as local anesthetics, respectively. Results: The results were analyzed statistically. The duration of anesthesia was significantly higher in the test group than in the control group. Ropivacaine was found to be superior to lignocaine in terms of the quality of anesthesia. The comparison of mean visual analog scale scores showed ropivacaine to have better anesthetic and analgesic effects than the control group. Conclusion: Ropivacaine 0.75% provides a significantly longer duration of anesthesia than lignocaine 2% with adrenaline. Ropivacaine 0.75% decreased intraoperative and postoperative analgesia compared to lignocaine 2% with adrenaline. Hence, ropivacaine 0.75% can be used as an alternative to lignocaine in implant surgeries and other intraoral surgical procedures that require a longer duration of anesthesia and analgesia.

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial

  • Deo, Saroj Prasad;Ahmad, Md Shakeel;Singh, Abanish
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제48권1호
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    • pp.21-32
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    • 2022
  • Objectives: Inferior alveolar nerve block (IANB) is commonly used for mandibular dentoalveolar surgery. The objective of this study was to evaluate and compare the effectiveness of coadministration of dexamethasone (4 mg/mL) or adrenaline (0.01 mg/mL) as an adjuvant with lignocaine 2% in IANB during third molar surgery (TMS). Patients and Methods: This double-blind, randomized controlled trial was conducted between March and August 2020. The investigators screened patients needing elective TMS under local anesthesia. Based on strict inclusion and exclusion criteria, patients were enrolled in this study. These patients were assigned randomly into two study groups: dexamethasone group (DXN) or adrenaline group (ADN). Outcome variables were postoperative edema, trismus, visual analogue scale (VAS), perioperative analgesia, onset time, and duration of IANB. Results: Eighty-three patients were enrolled in this study, of whom 23 (27.7%) were eliminated or excluded during follow-up. This study thus included data from 60 samples. Mean age was 32.28±11.74 years, including 28 females (46.7%) in the ADN (16 patients, 57.1%) and DXN (12 patients, 42.9%) groups. The duration of action for DXN (mean±standard deviation [SD], 4:02:07±0:34:01 hours; standard error [SE], 0:06:00 hours; log-rank P=0.001) and for ADN (mean±SD, 1:58:34±0:24:52 hours; SE, 0:04:42 hours; log-rank P=0.001) were found. Similarly, time at which 1st analgesic consume and total number of nonsteroidal antiinflammatory drugs need to rescue postoperative analgesia was found statistically significant between study groups (t (58)=-11.95; confidence interval, -2:25:41 to -1:43:53; P=0.001). Early-hours VAS was also significantly different between the study groups. Conclusion: A single injection of dexamethasone prolongs the duration of action of lignocaine 2% IANB. Additionally, it can be used in cases where adrenaline is contraindicated.

${\gamma}-Aminobutyric$ Acid가 토끼 장관운동에 미치는 영향 (The Effect of ${\gamma}-Aminobutyric$ Acid on the Intestinal Motility of Rabbit)

  • 이계열;이명희;정형;임규팔
    • The Korean Journal of Physiology
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    • 제1권1호
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    • pp.51-56
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    • 1967
  • In order to find out the effects of GABA on the rabbit's intestinal motility, the following experiments were carried out using Magnus method and the results obtained were as follows: 1. GABA inhibited the intestinal motility of rabbits initially. 2. GABA potentiated the inhibitory action of adrenaline and nor-adrenaline. 3. GABA inhibited the accelerating activity of acetylcholine on the intestinal motility by its anti acetylcholine effect. 4. The inhibitory action of GABA was unaffected with atropinization, strychnin, picrotoxin treatment, but the accelerating activity of GABA observed in some cases was only in the picrotoxin treatment.

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Anodic Stripping Polarograph에 의한 극미량 게르마늄의 분석(II) (Determination of Trace Germanium by Anodic Stripping Polarography)

  • 최원형;이종무
    • 분석과학
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    • 제5권1호
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    • pp.17-24
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    • 1992
  • Catechol의 유도체인 3, 4-dihydroxybenzoic acid, 3, 4-dihydroxybenzaldehyde, 그리고 adrenaline을 사용하여 게르마늄과 착물을 형성시킨 후 Anodic Stripping Polarography로 정량한 후, 천연물 중의 게르마늄 정량에 적용시켜 분석한 결과 인삼에서 $300{\mu}g/L$, 광천수에서 $210{\mu}g/L$를 검출할 수 있었다.

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왕둥굴레의 생약학적연구(生藥學的硏究) (Pharmacognostical Studies on the Rhizome of Polygonum robustum Nakai)

  • 김정규;이용주
    • 생약학회지
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    • 제11권2호
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    • pp.69-74
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    • 1980
  • The rhizome of Polygonatum robustum Nakai (Liliaceae) has been used as a crude drug for the purpose of tonic and thirst cure in Korea. The dried rhizomes were extracted with hot ether, then the residue was extracted with hot alcohol. 1) The three kinds of chemical constituents, substance, I, II and III were isolated by silicagel column chromatography from ether and alcohol extracts of the rhizomes. Substance I was confirmed as ${\beta}-sitosterol$, $C_{29}H_{50}O$ by mass and IR spectroscopy. Substance II was identified as stigmasterol by GLC. 2) Substance III was obtained by crystallization from the column chromatography of alcohol fraction. It was suggested as diosgenin based on chemical and spectral discussions. 3) The concentration of blood sugar was significantly decreased in the group administered the ether extract with 20% dextrose and adrenaline in comparison to that of 20% dextrose and adrenaline along.

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쥐의 연수에서 아연이 풍부한 뉴런(ZEN neuron) 세포체의 분포 (Distribution of Zinc Enriched (ZEN) Neuron Somata in the Medulla Oblongata of Rat)

  • 조현욱
    • 한국동물학회지
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    • 제38권3호
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    • pp.375-381
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    • 1995
  • 쥐에 sodium selenite 를 피하주사하여 연수에 분포하는 아연이 풍부한 뉴런의 세포체 위치를 autometallography 방법으로 조사하였다. 표지된 세포체의 분포양상은 앞쪽 부위에서 뒤쪽 부위까지 다양하였다. 표지된 세포체는 C1 adrenaline cells, gigantocellular reticular uncleus, inferior olive, paragigantocellular uncleus, prepositus hypoglossal uncleus, raphe obscurus uncleus, 및 reticular uncleus 부위에 나타났다.

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Panax ginseng C.A. Meyer의 PD와 PT는 아드레날린에 의해 유인된 사람 혈소판의 응집반응에서 Thromboxane $A_2$의 생성을 저해한다 (Panaxadiol and Panaxatriol from Panax ginseng C.A. Meyer Inhibit the Synthesis of Thromboxane $A_2$ in Adrenaline-Stimulated Human Platelet Aggregations)

  • Park, Kyeong-Mee;Rhee, Man-Whee;Park, Hwa-Jin
    • Journal of Ginseng Research
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    • 제18권1호
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    • pp.44-48
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    • 1994
  • In adrenaline-stimulated human platelets, panaxadiol (PD) and panaxatriol (PT) from Panax ginseng C.A. Meyer did not inhibit the $Ca^{2+}$-innux, but inhibited the formation of thromboxane $A_2$ and the platelet aggregations. It seems that PD and PT block a pathyway interconvefing arachidonic acids (20:4) to thromboxane $A_2$ (TX $A_2$), because the amount of $Ca^{2+}$ which phospholipase C or phospholipase $A_2$ requires to liberate 20 : 4 from membrane phospholipids was increased by PD and PT. These results mean that PH and PT have an antiplatelet effect by Inhibiting the formation of TX $A_2$.

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개구리 대동맥의 활동전압 및 Pacemaker 전압에 관한 연구 (The Action and Pacemaker Potential in the Frog Truncus Arteriosus)

  • 엄융의;성호경
    • The Korean Journal of Physiology
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    • 제16권2호
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    • pp.119-128
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    • 1982
  • The frog truncus arterious were studied with conventional glass microelectrode technique in order to elucidate the underlying mechanism of spontaneous pacemaker activity. The analyses were focussed on the ionic nature of pacemaker current by changing the concentrations of extracellular $K^+$ and, $Na^+$, or by using blockers of K- and Ca-current and chronotropic transmitters. 1) The action potential of the spontaneously active truncus arteriosus has some characteristic feature of maximal distolic potential ranged from -65 to -75 mV, resting potential from -45 to -50 mV and overshoot voltage about +30 mV, respectively. Duration of the action potential taken from rapid upstroke to maximal diastolic potential was about 600 msec. Usual discharge rate was $25{\sim}30/min$ at room temperature $(18{\sim}20^{\circ}C)$. 2) The sensitivity of the resting membrane potential to change extracellular potassium concentrations $(0{\sim}12\;mM)$ was relatively low. Transient hyperpolarization was appeared in the 12 mM K Ringer after 10 min exposure to 0 mM K and it could be related to Na-pump reactivation by high potassium. 3) Reduction of extracellular sodium concetrations diminished the amplitude and frequency of the action potential. In Ringer solution containing 30% Na (substituted by equimolar Tris), spontaneous activity stopped but reappeared as very slow and small action potential. There was no spotaneous activity in zero Na Ringer solution. 4) Caesium(10 mM), K-current blocker decreased the frequency of the action potential and also pacemaker depolarization. Manganese (2 mM) known to be Ca-current antagonist, blocked spontaneous activity completely. 5) Adrenaline and acetylcholine had no chronotropic effect. But adrenaline increased the duration of plateau phase and the magnitude of the action potential in the follower cell. It is concluded that K-, Na-and Ca-current components are involved in the genesis of spontaneous activity of the frog truncus arteriosus like cardiac pacemaker tissues. But the insensitivity of truncus arteriosus to adrenaline and acetylcholine indicates that there are some different control mechanisms of spontaneous rhythm in two tissues.

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뱀장어(Anguilla japonica)장의 상피세포막에 존재하는 새로운 clonidine 결합 수용체에 관한 연구 (A New Receptor for site Clonidine in the Eel, Anguilla japonica Intestine)

  • 김흥태;서정수;박남규;이형호;정준기
    • 한국어병학회지
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    • 제14권1호
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    • pp.31-36
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    • 2001
  • 해수에 적응된 뱀장어, Anguilla japonica의 장 세포막으로부터 새로운 clonidine의 결합부위가 있음이 밝혀졌다. Clonidine의 특이적인 결합부위는 적어도 2개의 부위 (high affinity $K_d=1.4{\pm}0.3$ nMn= 5, low affinity $K_d=175{\pm}34$ nM)를 가지고 있었다. 2nM [$^3H$]clonidine의 특이적인 결합은 $20^{\circ}C$, pH 7.5에서 최적 결합능을 가지고 있었고, 라벨되지 않은 clonidine에 의해 가역적인 반응을 보였다. 이러한 결합은 adrenaline, yohimbine과 rauwolscine에 의한 저해능은 약하였다. 그리고 대부분의 결합부위는 $\alpha_2$-adrenoceptor와는 상이하였다. Clonidine의 특이적인 결합은 다양한 imidazoline/guanidinium약물에 의해 억제되었다. Competition 실험의 결과, 2nM[$^3H$]clonidine의 치환 rank order는 다음과 같다. guanabenz > cirazoline = naphazoline=UK14,304= ST587 $\geq$ clonidine $\geq$ idazoxan = RX821002 = tolazoline > ST93 = oxymetazoline = amiloride = ST91 > yohimbine = efaroxan = rauwolscine $\geq$ adrenaline = ST567 = histamine = agmatine. 이러한 순서는 포유류에 분류된 imidazoline receptorl($I_1$), imidazoline receptor 2($I_2$) 및 imidazoline/guanidinium receptive sites(IGRS)형태와는 틀리기 때문에 새로운 imidazoline receptor라고 생각된다. 지금까지 보고된 포유류의 세포와 조직에서 IGRS의 생리학적인 역할은 명확하지 않지만, 해수뱀장어 장은 IGRS의 세포에 있어서의 역할 그리고 IGRS의 내인성(內因性) ligand가 무엇인가에 대한 좋은 모델이 될 수 있다고 생각되어진다.

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연령에 따른 흰쥐 부신 수질의 전자현미경적 관찰 (Ultrastructural Studies on the Adrenal Medulla of The Developmental Rats)

  • 박주희;이재현;구세광;이형식
    • Applied Microscopy
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    • 제28권2호
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    • pp.215-224
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    • 1998
  • 흰쥐 부신수질의 발생에 따른 미세구조적 변화를 관찰하기 위하여 임신 20일령, 출생직후, 출생후 7일, 15일 및 30일에 각각 조직을 채취하여 전자현미경적으로 관찰한 바, 흰쥐 부신 수질에서는 과립내용물의 전자밀도가 중등도 또는 낮고, 한계막에 싸여 있으며, 한계막과 과립 내용물간에 비교적 넓은 halo를 형성하거나 얇은 core를 형성하는 원형 내지 타원형의 소위 adrenaline 과립 $(123\sim200nm)$과 과립 내용물의 전자밀도가 adrenaline 과립보다 높고 한계막과 과립내용물간에 대체로 넓은 halo를 형성하는 부정형의 소위 noradrenaline 과립 (장경 $177\sim299nm$, 단경 $124\sim194nm$) 등 두 가지 형태의 과립이 관찰되었다. 이들 두 종류의 과립은 임신 후기 및 출생직후에서는 두종의 과립이 한 세포내에서 흔재하고 있었으나, 출생후 7일령에서부터 명확한 두종의 세포를 구별할 수 있었으며 과립의 크기와 수는 일령에 따라 다소 차이를 나타내었고, 핵내에서는 치밀체가 출현하였다.

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