conclusions hepatotoxicity of halogenated inhalational anesthetics has been well documented in available literature. halothane-induced liver injury was extensively acknowledged; however, the next generation halogenated anesthetics have different molecular structures and associated with less hepatotoxicity. although anesthesia-induced hepatitis is not a common occurrence, we must consider the as...

pain is a challenging health dilemma and has gained a great focus in clinico-pathological conditions correlated with post-operative, neuropathic and cancer pain. while perioperative administration of analgesics to mitigate the postoperative pain has been well established in the literature (termed preventive analgesia), preemptive analgesia or effects of any drug (such as anesthetics) prior to o...

background the incidence of transient neurologic symptoms (tns) after spinal anesthesia with lidocaine is reported as high as 40%. objectives this prospective clinical trial was designed to determine the incidence of tns in patients who underwent spinal anesthesia with two different needles, in two different surgical positions. patients and methods the present randomized clinical trial was cond...

allergic reaction to local anesthetics is very rare and most of the reported cases are due to ester local anesthetics. this case presents a parturient who experienced cardiac arrest due to hypersensitivity reaction to lidocaine after epidural injection for cesrarean section.

toxic reactions to local anesthetics may occur due to over dose, accidental intravenous injections or rapid systemic uptake of the drugs. but there have been few reports on toxicity due to displacement of epidural catheters after an initial correct insertion and performance of a test dose.  here we present a case of local anesthetics toxicity due to possible displacement of the epidural cathete...

The primary mode of action of local anesthetics is through sodium channel and axonal conduction blockade. Local anesthetics have also extensive effects on pre-synaptic calcium channels that must function to stimulate the release of neurotransmitters. Thus, interference with calcium channel conductance may enhance spinal anesthesia with local anesthetics. The present study was designed to invest...

The primary mode of action of local anesthetics is through sodium channel and axonal conduction blockade. Local anesthetics have also extensive effects on pre-synaptic calcium channels that must function to stimulate the release of neurotransmitters. Thus, interference with calcium channel conductance may enhance spinal anesthesia with local anesthetics. The present study was designed to invest...