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Evaluation of sciatic nerve damage following intraneural injection of bupivacaine, levobupivacaine and lidocaine in rats

Overview of attention for article published in Brazilian Journal of Anesthesiology, March 2015
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Title
Evaluation of sciatic nerve damage following intraneural injection of bupivacaine, levobupivacaine and lidocaine in rats
Published in
Brazilian Journal of Anesthesiology, March 2015
DOI 10.1016/j.bjane.2014.09.012
Pubmed ID
Authors

Oznur Sen, Nevzat Cem Sayilgan, Ayse Cigdem Tutuncu, Mefkur Bakan, Guniz Meyanci Koksal, Huseyin Oz

Abstract

The local anesthetics may cause neurotoxicity. We aimed to compare the neurotoxic potential of different local anesthetics, local anesthetic induced nerve damage and pathological changes of a peripheral nerve. Sixty Wistar rats weighing 200-350g were studied. Rats were assigned into 3 groups and 26-gauge needle was inserted under magnification into the left sciatic nerve and 0.2mL of 0.5% bupivacaine, 5% levobupivacaine, and 2% lidocaine were injected intraneurally. An individual who was blind to the specifics of the injection monitored the neurologic function on postoperative 1st day, and daily thereafter. Neurologic examination included assessment for the presence and severity of nociception and grasping reflexes. At the 7th day sciatic nerve specimen was taken for evaluation of histopathologic changes. There was no statistical difference detected among groups regarding grasping reflex and histopathologic evaluation. Two cases in bupivacaine group, 1 case in levobupivacaine group and 2 cases in lidocaine group had slight grasping, while 1 case in lidocaine group had no grasping reflex on the seventh day. Severe axonal degeneration was observed in all groups, respectively in bupivacaine group 4 (20%), levobupivacaine group 3 (15%), and lidocaine group 6 (30%). In all groups, histopathological damage frequency and severity were more than the motor deficiency.

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Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 4 19%
Student > Master 3 14%
Professor > Associate Professor 2 10%
Professor 2 10%
Researcher 2 10%
Other 2 10%
Unknown 6 29%
Readers by discipline Count As %
Medicine and Dentistry 5 24%
Pharmacology, Toxicology and Pharmaceutical Science 4 19%
Biochemistry, Genetics and Molecular Biology 1 5%
Mathematics 1 5%
Agricultural and Biological Sciences 1 5%
Other 3 14%
Unknown 6 29%