• Title/Summary/Keyword: Lidocaine HCl

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AN EXPERIMENTAL STUDY ON SKIN REACTION TO A FEW DENTAL MEDICAMENTS (수종 치과치료약제의 피부반응에 관한 실험적 연구)

  • Gang, Myeong-Hui
    • The Journal of the Korean dental association
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    • v.13 no.2
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    • pp.133-136
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    • 1975
  • The autor studied skin reactions and their incidences among 130 dental students and dentists to 2% Iidocaine HCI, 2% procaine HCI, direct resin, plaster of paris, zinc oxide-eugenol cement, and adhesive plaster by Patch test. The results of the studies are as follows: 1. Eighteen cases out of 130 revealed slight positive reaction toa 1 or 2 allergens. 2. Lidocaine HCL showed 1 case, procaine HCL 4 cases, direct resin 4 cases, Z.O.E. cement 1 case, adhesive plaster 13 case, and plaster of paris showed none. 3. Two delayed reaction were detected after 48 hours, one of which reacted both lidocaine HCL and direct resin, and the other one was a case of adhesive plaster.

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Anaesthetic Efficacy and Physiological Response of Clove Oil and Lidocaine-HCl on River Puffer, Takifugu obscurus and Tiger Puffer, T. rubripes

  • Park, In-Seok
    • Development and Reproduction
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    • v.23 no.1
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    • pp.21-34
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    • 2019
  • The effects of the anaesthetic agents, clove oil and mixture of clove oil with lidocaine-HCl were evaluated on river puffer, Takifugu obscurus and tiger puffer, T. rubripes. Anaesthesia times of clove oil were affected by water temperature ($20^{\circ}C$, $24^{\circ}C$, and $28^{\circ}C$) and salinity (10, 20, and 30 ppt). Anaesthesia times of mixed samples were significantly similar with regard to exposure and recovery times, and all samples satisfied anaesthesia criteria (exposure time within 3 min and recovery time within 5 min) under the various temperatures and salinities, and the lowest to highest concentration of anaesthetics (p<0.05). Both species river puffer and tiger puffer had short exposure time with a high anaesthesia dose, high temperature ($28^{\circ}C$) and intermediate salinity (20 ppt), and were highly affected by temperature and salinity (p<0.05). The mixed anaesthetics had rapid exposure times and long recovery times in contrast to the effects of clove oil. Cortisol concentrations under the conditions of various clove oil dosages, salinity, and temperature for both species increased until 12 hrs after recovery from anaesthesia (p<0.05). After 12 hrs, cortisol concentrations decreased until after 48 hrs (p<0.05). During the simulated transportation of both species, control and sedated clove oil groups (5 ppm) were measured for water parameters, dissolved oxygen (DO), $CO_2$, respiratory frequency, $NH_4{^+}$, and pH for 6 hrs in 1 hr intervals. Water parameters of sedated groups and controls were significantly different after 2 hrs (p<0.05).

Efficacy and safety of 2% lidocaine HCl with 1:200,000 epinephrine (1:200,000 에피네프린 리도카인의 소개)

  • Karm, Myong-Hwan
    • The Journal of the Korean dental association
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    • v.56 no.1
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    • pp.42-48
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    • 2018
  • INTRODUCTION The most commonly impacted tooth is the third molar. An impacted third molar can ultimately cause acute pain, infection, tumors, cysts, caries, periodontal disease, and loss of adjacent teeth. Local anesthesia is employed for removing the third molar. This study aimed to evaluate the efficacy and safety of 2% lidocaine with 1:80,000 or 1:200,000 epinephrine for surgical extraction of bilateral impacted mandibular third molars. METHODS Sixty-five healthy participants underwent surgical extraction of bilateral impacted mandibular third molars in two separate visits while under local anesthesia with 2% lidocaine with different epinephrine concentration (1:80,000 or 1:200,000) in a double-blind, randomized, crossover trial. Visual analogue scale pain scores obtained immediately after surgical extraction were primarily evaluated for the two groups receiving different epinephrine concentrations. Visual analogue scale pain scores obtained 2, 4, and 6 h after administering an anesthetic, onset and duration of analgesia, onset of pain, intraoperative bleeding, operator's and participant's overall satisfaction, drug dosage, and hemodynamic parameters were evaluated for the two groups. RESULTS There were no statistically significant differences between the two groups in any measurements except hemodynamic factors (P > .05). Changes in systolic blood pressure and heart rate following anesthetic administration were significantly greater in the group receiving 1:80,000 epinephrine than in that receiving 1:200,000 epinephrine ($P{\leq}01$). CONCLUSION The difference in epinephrine concentration between 1:80,000 and 1:200,000 in 2% lidocaine liquid does not affect the medical efficacy of the anesthetic. Furthermore, 2% lidocaine with 1:200,000 epinephrine has better safety with regard to hemodynamic parameters than 2% lidocaine with 1:80,000 epinephrine. Therefore, we suggest using 2% lidocaine with 1:200,000 epinephrine rather than 2% lidocaine with 1:80,000 epinephrine for surgical extraction of impacted mandibular third molars in hemodynamically unstable patients.

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Primary Closure of Deep Penetrating Wounds under Local Anesthesia with Dental Lidocaine HCL 28 Ampules in Maxillofacial Regions -Report of two cases - (치과용 Lidocaine 28 앰플로 국소마취 하에 1차 봉합한 악안면 심부 관통성 열창 -증례 보고-)

  • Kim, Jong-Bae;Yoo, Jae-Ha
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.1 no.1 s.1
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    • pp.26-31
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    • 2001
  • The wide deep penetrating wound of maxillofacial region should be early closed under emergency general anesthesia for the prevention of complications of bleeding, infection, shock & residual scars. But, if the emergency general anesthesia wound be impossible because of pneumoconiosis, obstructive pulmonary disease & hypovolemic shock, early primary closure should be done under local anesthesia by use of much amount of the anesthetic solution. The maximum dose of dental lidocaine (2% lidocaine with 1 : 100,000 epinephrine) is reported to 7 mg/kg under 500 mg (13.8 ampules) in normal adult. But the maximum permissible dose of dental lidocaine can be changed owing to the general health, rapidity of injection, resorption, distribution & excretion of the drug. The blood level of overdose toxicity is above $4.0{\mu}g/ml$ in central nervous & cardiovascular system. The injection of dental lidocaine 1-4 ampules is attained to the blood level of $1{\mu}g/ml$ in normal healthy adult. The duration of anesthetic action in the dental 2% lidocaine hydrochloride with 1 : 100.000 epinephrine is 45 to 75 minutes and the period to elimination is about 2 to 4 hours. Therefore, authors selected the following anesthetic methods that the first injection of 6 ampules is applied into the deeper periosteal layer for anesthetic action during 1 hour, the second injection into the deeper muscle & fascial layer, the third injection into the superficial muscle and fascial layer, the fourth injection into the proximal skin & subcutaneous tissue and the fifth final injection into the distal skin & subcutaneous tissue. The total 26-28 ampules of dental lidocaine were injected into the wound as the regular time interval during 5-6 hours, but there were no systemic complications, such as, agitation, talkativeness, convulsion and specific change of vital signs and consciousness.

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Changes of Hematological Characteristics of Cultured Sweetfish (Plecoglossus altivelis) by Anaesthetic Transport (마취 수송에 따른 양식 은어(Plecoglossus altivelis)의 혈액성상 변화)

  • Hur, Jun-Wook;Park, In-Seok;Kho, Kang-Hee;Chang, Young-Jin
    • Ocean and Polar Research
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    • v.27 no.1
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    • pp.59-65
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    • 2005
  • To assess the effect of anaesthetic on stress response in cultured sweetfish (Plecoglossus altivelis) during transportation, the levels of plasma cortisol, glucose, lactic acid, $Na^+,\;K^+,\;Cl^-$, osmolality and survival were determined. The transportation was performed in square boxes where liquefied oxygen was saturated in polyethylene bags. Fish transportation was carried by car for 2 hours after anaesthesis with lidocaine-HCl/1,000 ppm $NaHCO_3$ in experiment. Mean plasma cortisol concentration before transportation was 170.7ng/ml. After transportation, the levels of plasma cortisol increased to 518.5ng/ml (Control), 461.9ng/ml (Sham control), 369.4ng/ml (20ppm anaesthetic), 304.0ng/ml (40 ppm anaesthetic), 405.7ng/ml (80 ppm anaesthetic) and 499.1ng/ml (160ppm anaesthetic) in each experimental groups, respectively (p<0.05). However levels of glucose, lactic acid, $Na^+,\;Cl^-$ and osmolality in 40ppm anaesthetic group did not show significant differences in this before and after transportation (P>0.05). These result reveal an anaesthetic lidocaine HCl/1,000ppm $NaHCO_3$ is effective as sedative for transportation mixture in this species. This research provides baseline data on cortisol, glucose, lactic acid, $Na^+,\;K^+,\;Cl^-$, osmolality and survival for anaesthetic transportation.

MS-222와 Lidocaine-HCl 마취농도에 따른 조피볼락(Sebastes schlegeli)의 생리적 반응

  • Kim, Jae-Ho;Jang, Young-Jin;Baek, Hye-Ja;Kim, Yoon
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.377-378
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    • 2001
  • 양식과정중 마취는 어류를 고정시키거나, 인공 채란, 종묘 입식, 출하시 수송 및 선별과 같은 일상적인 취급에서 스트레스를 감소시키기 위한 방안으로 많이 이용되어 왔다(Westernized, 1993). MS-222는 어류에 사용되는 가장 일반적인 마취제로 물에 잘 녹는 하얀 결정상의 가루로 빠른 마취를 일으키고 회복시간은 짧다(Bourne, 1984). 그러나 일반 어류 양식장에서 널리 사용되기에는 가격이 비교적 비싼 편이다. (중략)

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Effects of Local Anesthetics on the Fluidity of Synaptosomal Plasma Membrane Vesicles Isolated from Bovine Brain (국소마취제가 Synaptosomal Plasma Membrane Vesicles의 유동성에 미치는 영향)

  • Yun, Il;Han, Suk-Kyu;Baik, Seung-Wan;Kim, Nam-Hong;Kang, Jung-Sook;Chung, Joong-Ki;Lee, Eun-Joo
    • The Korean Journal of Pharmacology
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    • v.24 no.1
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    • pp.43-52
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    • 1988
  • To elucidate the mechanism of action of local anesthetics, the effects of local anethetics on the microenvironment of the lipid bilayers of synaptosomal plasma membrane vesicles (SPMV) isolated from bovine brain and dimyristoylphosphatidylcholine (DMPC) multilamellar liposomes were investigated employing the intermolecular excimer fluorescence technique and differential scanning calorimetry (DSC). The relative intensities of excimer and monomer fluorescence of pyrene are a simple linear function of the viscosity of a homologous series of solvents. The microviscosity(${\eta}$)of the hydrocarbon region of SPMV was measured by this method and the value was $57.3{\pm}5.3\;cP$ at $37^{\circ}C$. In the presence of lidocaine-HCl and procaine-HCl, the values decreased to $46.5{\pm}5.1\;cP$ and $54.7{\pm}4.8\;cP$, respectvely. The differential scanning thermograms of DMPC multilamellar liposomes showed that local anesthetics significantly lowered the phase transition temperature, broadened the thermogram peaks, and reduced the size of the cooperative unit. These results indicate that local anesthetics have significant fluidizing effects on biomembranes and perturbation of membrane lipids may produce some, but not all, of their pharmacological actions.

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Postoperative Analgesia by Caudal Nalbuphine HCL (Nalbuphine 천골강내 주입에 의한 술후 제통효과)

  • Shin, Jung-Soo;Yoon, Duck-Mi;Lee, Kyung-Min;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.3 no.1
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    • pp.44-50
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    • 1990
  • Epidural injection of narcotics for postoperative pain relief has been well reported. Caudal nalbuphine was assessed as a postoperative analgesic in a randomized double blind study of 80 patients after perianal surgery. Caudal block was carried out with 1.5% lidocaine 25 ml (Group 1) in 20 patients, and mixed with nalbuphine 3 mg (Group 2) in 20 patients, nalbuphine 5 mg (Group 3) in 20 patients, and nalbuphine 10 mg (Group 4) in 20 patients. Pain relief was evaluated by the subsquent need for systemic analgesics (Pethidine). In group 4, the use of systemic analgesics was significantly reduced for the first 24 hours postoperatively. Urinary retention was not correlated with nalbuphin dose.

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쥐노래미 Hexagrammos otakii (Jordan and Starks)에 대한 염산리도카인-중탄산나트륨과 MS-222의 마취 효과

  • 박인석;조진희;이수진;김유아;박기의;유종수;송영채
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2003.05a
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    • pp.183-184
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    • 2003
  • 어류를 채란채정, 표지, 계측 및 수술하기 위하여 공기 중에서 취급할 때 받는 스트레스를 최소화하기 위해서나, 일정 용기로 다량의 어류를 장시간에 걸쳐 효율적으로 운반하기 위하여 마취는 매우 중요시 된다. 본 연구는 쥐노래미 Hexagrammos otakii (Jordan and Starks)의 공기중에서의 효과적인 취급과 쥐노래미를 대상으로 한 양식생물학적 연구시 간편한 취급을 위하여, 쥐노래미를 대상으로 인체에 무해하여 안전성이 높은 염산리도카인-중탄산나트륨(lidocaine HCl/NaHCO$_3$)을 사용시 그 수온별 마취 효과를 조사하였으며, 일정 마취수온에서의 염산리도카인-중탄산나트륨과 MS-222(methanesulfonate)의 마취 효과를 비교 평가하였다. (중략)

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