Document Detail


Myotoxicity of local anesthetics and regeneration of the damaged muscle fibers.
MedLine Citation:
PMID:  7191645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In view of the documented myotoxic effects of the local anesthetic, bupivacaine, a survey of myotoxic effects of seven local anesthetics was conducted. In 70 rats, 200 microliters of an anesthetic solution was injected into one tibialis anterior muscle and a control solution was injected into the contralateral muscle. The anesthetics fell into two groups in their effects upon muscle. One group, including 1% procaine, 0.2% tetracaine, 0.5% lidocaine, and 0.75% bupivacaine, produced effects that were confined principally to the muscle fiber. The other group (2% chloroprocaine, 0.25% dibucaine, 0.5% lidocaine with 1:200,000 epinephrine and 2% piperocaine) produced toxic effects on other tissue components of the muscles in addition to affecting muscle fibers. With all anesthetics, the initial damage to and breakdown on muscle fibers was restored by regeneration and 30-day muscles showed relatively few long-term effects of the damage.
Authors:
A H Foster; B M Carlson
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  59     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  1980 Oct 
Date Detail:
Created Date:  1980-12-18     Completed Date:  1980-12-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  727-36     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Anesthetics, Local / toxicity*
Animals
Epinephrine / toxicity
Female
Ischemia / chemically induced
Muscles / blood supply,  drug effects*,  physiology
Rats
Regeneration*
Time Factors
Grant Support
ID/Acronym/Agency:
NS-13116/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 51-43-4/Epinephrine

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


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