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Anesth Analg 1983; 62:754-757
© 1983 International Anesthesia Research Society
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Lidocaine and Bupivacaine Differential Blockade of Isolated Canine Nerves

Susan K. Palmer, MD, Zeljko J. Bosnjak, PhD, Fran A. Hopp, MS, John H. von Colditz, PhD, and John P. Kampine, MD, PhD

Department of Anesthesiology, The Medical College of Wisconsin and the Veterans Administration Hospital, Wood, Wisconsin.

Abstract

In vitro studies of pharmacologic actions of local anesthetics are usually performed at room temperature using amphibian nerves exposed to local anesthetics for substantial periods of time. We performed in vitro studies of pharmacologic responses of motor A fibers and sensory C fibers to lidocaine and bupivacaine in clinically effective concentrations using a canine nerve preparation at body temperature with short exposure times to evaluate responses under clinically relevant conditions. Differential blockade of isolated, desheathed phrenic and vagus nerves was achieved with bupivacaine (0.58 mM), C fibers being blocked before A fibers (P < 0.05). Lidocaine (2.8 mM) did not block A and C fibers differentially.

Key Words: ANESTHETICS, Local: bupivacaine, lidocaine • NERVE: differential blockade.







Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1983 by the International Anesthesia Research Society.