Document Detail


Differential effect of nerve fiber structure on block by local anesthetic.
MedLine Citation:
PMID:  4025865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of conduction block by lidocaine 0.3 mmol/l (8.1 mg/dl) in several successive lengths of individual afferent axons of rabbit was compared. The conduction velocity of the axons was either "slow," "intermediate" (1.3-4 m/s), or "fast." The "intermediate" group showed a higher incidence of proximal acceleration of conduction (P less than 0.001) and a greater incidence of block (P less than 0.001) than the "slow" and "fast" fiber groups. The results were interpreted as indicating that the fibers of the "intermediate" group had an unmyelinated peripheral and a myelinated proximal length, with a junctional heminodal region that was the seat of the high sensitivity to block. The potential clinical significance of the observation is discussed in terms of the known distribution of heminodes in the peripheral nervous system.
Authors:
B R Fink; A M Cairns
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Publication Detail:
Type:  In Vitro; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Anesthesiology     Volume:  63     ISSN:  0003-3022     ISO Abbreviation:  Anesthesiology     Publication Date:  1985 Aug 
Date Detail:
Created Date:  1985-08-27     Completed Date:  1985-08-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  1300217     Medline TA:  Anesthesiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  157-60     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Anesthetics, Local / pharmacology*
Animals
Axons / drug effects
Ganglia, Parasympathetic / drug effects
Ganglia, Sympathetic / drug effects
Lidocaine / pharmacology
Nerve Block*
Nerve Fibers / anatomy & histology,  drug effects*
Nerve Fibers, Myelinated / drug effects
Neural Conduction / drug effects
Rabbits
Vagus Nerve / drug effects
Grant Support
ID/Acronym/Agency:
CA 33522/CA/NCI NIH HHS; GM 31710/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 137-58-6/Lidocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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