Department of Dental Anesthesiology, School of Life Dentistry at Tokyo, Nippon Dental University, 1-9-20 Fujimi Chiyoda-ku, Tokyo, 102-8159, Japan.
School of Life Dentistry at Tokyo, Nippon Dental University, Tokyo, Japan.
Odontology. 2020 Oct;108(4):626-635. doi: 10.1007/s10266-020-00491-2. Epub 2020 Feb 10.
We sought to elucidate how the local administration of mepivacaine hydrochloride and vasopressin via the tail affects the peripheral blood flow volume, tissue dynamics, and mepivacaine's anesthetic effect in mice. Two-hundred and twenty-six male ICR mice were used in this study. Blood flow was measured after administering mepivacaine alone or mepivacaine with either 0.03, 0.3, or 3.0 U/mL vasopressin or 10 µg/mL epinephrine via the tail tissue. The tail tissue and blood dynamics were measured using H-labeled mepivacaine hydrochloride with vasopressin or epinephrine. The compound nerve action potential (CNAP) was measured to clarify the anesthetic effect after administering mepivacaine with 0.3 U/mL vasopressin. The statistical methods employed were Steel-Dwass test, Mann-Whitney U test, Dunnett's test, and Tukey test. P < 0.05 indicated statistical significance. The results revealed that the local administration of ≥ 0.03 U/mL vasopressin reduced local blood flow and prolonged H-M localization in the tail tissue in a concentration-dependent manner. Addition of 0.3 U/mL vasopressin enhanced and prolonged the anesthetic effect of mepivacaine. The findings suggest that adding vasopressin to a local anesthetic regimen may be effective, and thus it could be applied as a vasoconstrictor.
我们旨在阐明盐酸甲哌卡因和血管加压素经尾局部给药如何影响小鼠外周血流量、组织动力学和盐酸甲哌卡因的麻醉效果。本研究使用了 226 只雄性 ICR 小鼠。单独给予或同时给予 0.03、0.3 或 3.0 U/mL 血管加压素或 10 μg/mL 肾上腺素后,经尾组织测量血流。使用带有血管加压素或肾上腺素的 H 标记盐酸甲哌卡因测量尾组织和血液动力学。测量复合神经动作电位 (CNAP) 以阐明给予 0.3 U/mL 血管加压素的盐酸甲哌卡因的麻醉效果。采用 Steel-Dwass 检验、Mann-Whitney U 检验、Dunnett 检验和 Tukey 检验进行统计分析。P 值<0.05 表示具有统计学意义。结果表明,局部给予≥0.03 U/mL 血管加压素可降低局部血流量并以浓度依赖的方式延长 H-M 在尾组织中的定位。添加 0.3 U/mL 血管加压素增强并延长了盐酸甲哌卡因的麻醉效果。这些发现表明,在局部麻醉方案中添加血管加压素可能是有效的,因此可以将其用作血管收缩剂。