Abstract
Neurologic deficits have followed the intrathecal injection of 2-chIoroprocaine 3% (IO-1 M) with sodium metabisulfite 0.2% (IO-2 M) as a preservative. This study evaluated the effects of varying concentrations of 2-chIoroprocaine and sodium metabisulfite, as well as the combination of the two, on the vascular reactivity of isolated rings of rat thoracic aorta. Isolated Sprague-Dawley rat thoracic aortic rings were prepared and connected to force transducers for measurement of isometric tension. The tension produced by logarithmically increasing concentrations of 2-chloroprocaine, sodium metabisulfite, and their paired combination was measured. Sodium metabisulfite concentrations below 0.2% (10∼z M) caused a maximum of 40% vasoconstriction compared to control followed by vasodilation with a maximum of 80% at 10∼2 M (the concentration in the former clinical preparation). 2-chloroprocaine alone produced a progressive relaxation at IO-3 M or higher concentration with a maximum of 130%. The effects of the mixture of sodium metabisulfite and 2-chloroprocaine were identical to the effects produced by 2-chloroprocaine alone. The relaxation effects of 2-chloroprocaine dominate the vasoconstricting effects of sodium metabisulfite when the two drugs are combined.
Original language | English (US) |
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Pages (from-to) | 271-273 |
Number of pages | 3 |
Journal | Regional Anesthesia |
Volume | 14 |
Issue number | 6 |
State | Published - 1989 |
Externally published | Yes |
Keywords
- Anesthetic techniques
- Chloroprocaine
- Complications
- Epidural
- Local anesthetics
- Metabisulfite
- Toxicity
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine