Experimental study of tetrodotoxin, a long-acting topical anesthetic.

Experimental study of tetrodotoxin, a long-acting topical anesthetic.
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长效局部麻醉剂河豚毒素的实验研究。

DOI:
10.1016/s0002-9394(99)80188-3
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发表时间:
1998
影响因子:
4.2
通讯作者:
Jones,MR
Jones,MR
中科院分区:
医学1区
文献类型:
--
作者:
Schwartz,DM;Fields,HL;Duncan,KG;Duncan,JL;Jones,MR

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PURPOSETo determine the effectiveness and toxicity of tetrodotoxin for use as a long-acting topical anesthetic.METHODSFour groups of six rabbits each received a 40-μl aliquot of either tetrodotoxin in one of three concentrations (10 mM, 1 mM, or 0.1 mM) or proparacaine 0.5% into the inferior conjunctival cul-de-sac of one eye, with the fellow eye of each rabbit receiving 40 μl of a 60-mM, pH 4.3 sodium citrate vehicle as a control. Corneal sensation was tested for up to 8 hours after administration of drugs, and response was noted by no blink, partial blink without full eyelid closure, and full blink. Slit-lamp examination at 12 and 24 hours after administration and pachymetry before and 24 hours after administration were performed to detect corneal toxicity.RESULTSRabbits receiving all three concentrations of tetrodotoxin did not demonstrate any ocular irritation, corneal thickening, or signs of systemic toxicity. At a dose of 10 mM, tetrodotoxin produced an anesthetic effect lasting up to 8 hours. At 1 mM, tetrodotoxin was an effective but shorter-acting anesthetic. At 0.1 mM, tetrodotoxin had no significant anesthetic effect. Proparacaine-treated rabbits initially were anesthetic, but this effect was largely gone by 1 hour and completely gone by 3 hours.CONCLUSIONSTetrodotoxin is a long-acting topical anesthetic in the rabbit cornea. Although additional toxicity studies are required, tetrodotoxin may provide an effective, long-lasting topical anesthetic for use in pain control after corneal procedures such as photorefractive keratectomy.
低度局部麻醉不会产生角膜毒性。
DOI: 10.1016/s0002-9394(14)76038-6
发表时间: 1985
影响因子: 4.2
作者:
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发表时间: 1963
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