• Title/Summary/Keyword: Local anaesthetics

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Influence of Lidocaine as an Anaesthetic for Marine Fishes (해선어류에 대한 리도카인의 마취효과)

  • Park, In-Seok;Kim, Jong-Man;Kim, Yeon-Hwan;Kim, Dong-Soo
    • Journal of fish pathology
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    • v.1 no.2
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    • pp.123-130
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    • 1988
  • General anaesthetics have been usually used for a long time because handling and transportation of live fish constitutes an important aspect in fisheries science. Numerous investigations, however, have shown that the majority of fish anaesthetics cause strong toxic effect to marine fishes. Therefore, less toxic and more effective anaesthetics are essential for marine fishes. Lidocaine belongs to a group of anaesthetics which are used as a local anaesthetic in human medicine. This chemical was tested for 11 commercially important marine fishes. Anaesthetic effects were clearly dose dependent and acute or chronic toxicities were not observed within clinical doses. The recovery time in the tested fish after anaesthetization was 3 to 4 minutes.

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Anaesthetic Effect of Lidocaine Hydrochloride-Sodium Bicarbonate on the Winter Flounder, Pleuronectes americanus (Winter flounder, Pleuronectes americanus에 대한 염산리도카인-중탄산나트륨의 마취효과)

  • Park, In-Seok;Hur, Jun-Wook;Song, Young-Chae;Im Jae-Hyun;Johnson Stewart C.
    • Ocean and Polar Research
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    • v.26 no.3
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    • pp.475-480
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    • 2004
  • Recently, less toxic and more effective anaesthetics are essential for marine fishes. Lidocaine belongs to a group of anaesthetics which are used as local anaesthetic in human medicine. This chemical was tested fer winter flounder, Pleunnectes americanus. Anaesthetic effect of lidocaine hydrochloride-sodium bicarbonate mixture (lidocaine $HCl/NaHCO_3$) was tested for the winter flounder at five different temperature regimes: $3^{\circ}C,\;7^{\circ}C,\;11^{\circ}C,\;15^{\circ}C\;and\;19^{\circ}C$ Anaesthetic dose and temperature-dependent relationship in exposure and recovery time were observed for the winter flounder of $17.2{\pm}0.1cm$ mean total length. Based on the results, anaesthetic lidocaine $HCl/NaHCO_3$ showed rapid exposure time and rapid recovery time for winter flounder. The results indicate that lidocaine $HCl/NaHCO_3$ can be used as suitable anaesthetic for this species.

Kinetics and Mechanistic Chemistry of Oxidation of Butacaine Sulfate by Chloramine-B in Acid Medium

  • Shubha, Jayachamarajapura Pranesh;Kotabagi, Vinutha;Puttaswamy, Puttaswamy
    • Bulletin of the Korean Chemical Society
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    • v.33 no.11
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    • pp.3539-3543
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    • 2012
  • Butacaine sulfate is an ester of p-aminobenzoic acid which has been widely used as a local anaesthetic and it is a long standing agent particularly for spinal anaesthesia. For this reason, a kinetic study of oxidation of butacaine sulfate by sodium N-chlorobenzenesulfonamide (chloramine-B or CAB) has been carried out in $HClO_4$ medium at 303 K in order to explore this redox system mechanistic chemistry. The rate shows a first-order dependence on both $[CAB]_o$, and $[substrate]_o$, and a fractional-order dependence on acid concentration. Decrease of dielectric constant of the medium, by adding methanol, increases the rate of the reaction. Variation of ionic strength and addition of benzenesulfonamide or NaCl have no significant effect on the rate. The reaction was studied at different temperatures and the activation parameters have been evaluated. The stoichiometry of the reaction has been found to be 1:2 and the oxidation products have been identified by spectral analysis. The observed results have been explained by plausible mechanism and the related rate law has been deduced.

A comparison of analgesic efficacy and safety of clonidine and methylprednisolone as additives to 0.25% ropivacaine in stellate ganglion block for the treatment of complex regional pain syndrome: a prospective randomised single blind study

  • Sreyashi Naskar;Debesh Bhoi;Heena Garg;Maya Dehran;Anjan Trikha;Mohammed Tahir Ansari
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.216-229
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    • 2023
  • Background: The role of the sympathetic nervous system appears to be central in causing pain in complex regional pain syndrome (CRPS). The stellate ganglion block (SGB) using additives with local anesthetics is an established treatment modality. However, literature is sparse in support of selective benefits of different additives for SGB. Hence, the authors aimed to compare the efficacy and safety of clonidine with methylprednisolone as additives to ropivacaine in the SGB for treatment of CRPS. Methods: A prospective randomized single blinded study (the investigator blinded to the study groups) was conducted among patients with CRPS-I of the upper limb, aged 18-70 years with American Society of Anaesthesiologists physical status I-III. Clonidine (15 ㎍) and methylprednisolone (40 mg) were compared as additives to 0.25% ropivacaine (5 mL) for SGB. After medical treatment for two weeks, patients in each of the two groups were given seven ultrasound guided SGBs on alternate days. Results: There was no significant difference between the two groups with respect to visual analogue scale score, edema, or overall patient satisfaction. After 1.5 months follow-up, however, the group that received methylprednisolone had better improvement in range of motion. No significant side effects were seen with either drug. Conclusions: The use of additives, both methylprednisolone and clonidine, is safe and effective for the SGB in CRPS. The significantly better improvement in joint mobility with methylprednisolone suggests that it should be considered promising as an additive to local anaesthetics when joint mobility is the concern.

THE TOPICAL ANESTHESIA WITH EMLA CREAM IN CHILDREN : A CASE REPORT (소아에서 EMLA cream을 이용한 도포마취 : 증례보고)

  • Kim, He-Jin;Ko, Sung-Back;Hong, Seong-Soo;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.69-75
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    • 2002
  • A number of techniques may be employed to reduce the discomfort of syringe or needle for dental care. The use of topical anesthesia is one such method. Topical anesthetics are applied to alleviate pain during many clinical procedures, such as injection of local infiltration anesthetics, primary tooth extraction, X-ray taking of sensitive patients, reducing gag reflex prior to impression taking. In children, placement of a rubber dam clamp, however, may cause significant discomfort for purpose of pit and fissure sealant and preventive resin restoration(PRR). A topical anesthetic would be beneficial to aid in rubber dam placement for this purpose. It has been suggested that all intra-oral topical anesthetics are equally effective on reflected mucosa, however EMLA(an acronym for eutectic mixture of local anesthetics), which was developed in the 1980s and produces surface anesthesia of skin, has been shown to be more effective than conventional topical anesthetics when used on attached gingivae. This report is topical anesthesized 4 case by EMLA cream, who showed better effect in reducing the pain of infiltration anesthesia, extraction of deciduous teeth, rubber dam clamp placement and reducing the pain of preformed crown adaptation.

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Microstructural Changes after Intramuscular Injection of Lidocaine and Dexamethasone (Lidocaine과 dexamethasone 혼합용액의 근육내 주사 후 조직학적 변화)

  • Jang, Seong-Min;Lee, Kyong-Eun
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.25-34
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    • 2005
  • A trigger point injection (TPI) has been reported to have an immediate analgesic effect, and to be one of the most widely employed treatment methods of myofascial pain. There are normal saline, local anesthetics, and steroids as the solutions frequently used in TPI. They can be used separately or in combination. Local anaesthetics have myotoxicity in proportion to its concentration. The purpose of this study was to evaluate microstructural changes in point of the myotoxic effects of the combined solution of lidocaine and dexamethasone (a local anesthetic and a steroid) after being injected into the muscle of BALB/c mice. And this study tested solutions with various concentration separately and in combination, to find out proper concentration of solution without muscular tissue damage. This study shows that lidocaine and dexamethasone combination is not histologically myotoxic in case of the concentration of lidocaine less than 1.5%. Also it is suggested from this study that this combined solution will have an analgesic and anti-inflammatory effect. Hereafter continuous study should be performed to reveal that these results can be applied to human when lidocaine and dexamethasone combination is used as an injection modality of TrP treatment.

Effect of vapocoolant spray and EMLA cream upon DPT vaccination pain in infants (DPT 예방접종 시 냉각 스프레이와 EMLA의 통증경감 효과)

  • Jang, Gunja;Jeon, Eunyoung;Lee, Eunsil
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.4
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    • pp.705-714
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    • 2014
  • This study aimed at identifying the effect of vapocoolant spray and EMLA (eutectic mixture of local anesthetics) cream upon DPT (diphtheria-pertussis-tetanus)vaccineassociated injection pain in infants. A nonequivalent control group pretest-posttest design was used. The subjects were 49 infants, 19 of them for control group, 15 of them for vapocoolant group, and 15 infants for EMLA group. Pulse and oxygen saturation as pain indicators were measured before and after DPT vaccination. FLACC was also measured after vaccination. The data were collected between October 2009 and June 2010 and analyzed using SPSS WIN 20.0. EMLA group had significant a little changes in pulse (F=43.37, p <.001) and oxygen saturation (F=9.86, p=.003) compared to the control and vapocoolant group. But there was no difference in FLACC pain score among three groups. This results showed that EMLA cream is an effective agent for reducing DPT vaccination-associated pain. Therefore, EMLA cream can be used to reduce pain at public health centers and clinical settings.