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Severe allergic reactions to anesthetic medications are rare and are usually attributable to factors other than the anesthetic. Neuromuscular blocking agents, natural rubber latex, and antibiotics are the most common causes of serious allergic reactions during surgery. [2] The mortality rate from these reactions ranges between 3-9%. [3]
procaine: Novocain, borocaine (procaine borate), ethocaine 1904 (Alfred Einhorn) 1905 (Heinrich Braun) procainamide: proparacaine: proxymetacaine propoxycaine [16] Pyrrocaine [17] quinisocaine dimethisoquin [18] ropivacaine: Naropin 1957 (Ekenstam) 1997 trimecaine: Mesdicain, Mesocain, Mesokain tetracaine: amethocaine, Dicaine, Pontocaine
Procaine, an ester anesthetic, is metabolized in the plasma by the enzyme pseudocholinesterase through hydrolysis into para-amino benzoic acid (PABA), which is then excreted by the kidneys into the urine. A 1% procaine injection has been recommended for the treatment of extravasation complications associated with venipuncture, steroids, and ...
It is a form of penicillin which is a salt of benzylpenicillin and the local anaesthetic agent procaine. [9] The salt has weak solubility, and is prepared as a suspension. Upon injection it forms a deposit within tissue (a "depot'), and the salt slowly dissolves into interstitial fluid - dissociating the two molecules into their bioactive forms over an extended pe
Structurally, amino esters consist of three molecular components: a lipophilic part (ester); an intermediate aliphatic chain; a hydrophilic part (amine); The chemical linkage between the lipophilic part and the intermediate chain can be of the amide-type or the ester-type, and is the general basis for the current classification of local anesthetics.
Anesthetic risk factors include the use of volatile anesthetics, nitrous oxide (N 2 O), opioids, and longer duration of anesthesia. Patient factors that confer increased risk for PONV include female gender, obesity , age less than 16 years, past history of motion sickness or chemotherapy-induced nausea, high levels of preoperative anxiety , and ...
Benzonatate is structurally related to anesthetic medications of the para-aminobenzoic acid (PABA) class which includes procaine and tetracaine. [ 3 ] [ 22 ] [ 12 ] Procaine and tetracaine, previously used heavily in the fields of dentistry and anesthesiology , have fallen out of favor due to allergies associated with their metabolites. [ 22 ]
A topical anesthetic is a local anesthetic that is used to numb the surface of a body part. They can be used to numb any area of the skin as well as the front of the eyeball , the inside of the nose , ear or throat , the anus and the genital area . [ 1 ]