Source:http://linkedlifedata.com/resource/pubmed/id/10793521
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2000-7-11
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pubmed:abstractText |
The amide-linked local anesthetics can be used safely in patients susceptible to malignant hyperthermia (MH). 4-Hydroxybenzoic acid methyl ester contained as a preservative in local anesthetic solution was suspected to have triggered MH in a patient who had received nerve block with lidocaine solution. The author investigated the effects of 4-hydroxybenzoic acid methyl ester on Ca(2+)-related functions of the skeletal muscle using saponin-treated skinned fibers from the extensor digitorum longus muscle of guinea pigs. 4-Hydroxybenzoic acid methyl ester accelerated the Ca2+ induced Ca2+ release (CICR) rate from the sarcoplasmic reticulum (SR) in a dose-dependent manner, and the Ca2+ concentration-CICR rate curves were shifted to the left with 4-hydroxybenzoic acid methyl ester at concentrations above 30 microM. 30 microM of 4-hydroxybenzoic acid methyl ester is associated with a plasma concentration of lidocaine intoxication which induces general convulsion. Ca2+ uptake, initial rate of Ca2+ uptake by the SR and Ca2+ sensitivity of the contractile system were not affected by 100 microM of 4-hydroxybenzoic acid methyl ester. These results suggest that amide-type local anesthetic solutions and agents containing 4-hydroxybenzoic acid methyl ester as a preservative may trigger MH in MH susceptible patients, if they are accidentally administered into the blood vessel.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Local,
http://linkedlifedata.com/resource/pubmed/chemical/Calcium,
http://linkedlifedata.com/resource/pubmed/chemical/Lidocaine,
http://linkedlifedata.com/resource/pubmed/chemical/Parabens,
http://linkedlifedata.com/resource/pubmed/chemical/Preservatives, Pharmaceutical,
http://linkedlifedata.com/resource/pubmed/chemical/Solutions,
http://linkedlifedata.com/resource/pubmed/chemical/methylparaben
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0021-4892
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
49
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
369-75
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10793521-Anesthetics, Local,
pubmed-meshheading:10793521-Animals,
pubmed-meshheading:10793521-Calcium,
pubmed-meshheading:10793521-Dose-Response Relationship, Drug,
pubmed-meshheading:10793521-Guinea Pigs,
pubmed-meshheading:10793521-Lidocaine,
pubmed-meshheading:10793521-Male,
pubmed-meshheading:10793521-Malignant Hyperthermia,
pubmed-meshheading:10793521-Muscle, Skeletal,
pubmed-meshheading:10793521-Parabens,
pubmed-meshheading:10793521-Preservatives, Pharmaceutical,
pubmed-meshheading:10793521-Sarcoplasmic Reticulum,
pubmed-meshheading:10793521-Solutions
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pubmed:year |
2000
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pubmed:articleTitle |
[Effects of 4-hydroxybenzoic acid methyl ester on the Ca(2+)-related functions of skinned skeletal muscle fibers from the guinea pig].
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pubmed:affiliation |
First Department of Anesthesiology, Toho University School of Medicine, Tokyo.
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pubmed:publicationType |
Journal Article,
In Vitro,
English Abstract,
Research Support, Non-U.S. Gov't
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