Effect of vasopressin as a local anesthetic in mice

Keiko Katagiri1, Shuichi Hashimoto2, Katsuhisa Sunda3

  • 1Department of Dental Anesthesiology, School of Life Dentistry at Tokyo, Nippon Dental University, 1-9-20 Fujimi Chiyoda-ku, Tokyo, 102-8159, Japan. iamkeiko@tky.ndu.ac.jp.

Odontology
|February 11, 2020
PubMed

Insights

Adding vasopressin to mepivacaine hydrochloride local anesthesia reduced blood flow and prolonged anesthetic effects in mice. This suggests vasopressin can enhance local anesthetic efficacy as a vasoconstrictor.

Area of Science:

  • Pharmacology
  • Physiology
  • Anesthesiology

Background:

  • Local anesthetics like mepivacaine hydrochloride are crucial for pain management.
  • Vasoconstrictors are often added to local anesthetics to prolong their duration and reduce systemic absorption.
  • The specific effects of vasopressin on mepivacaine's pharmacokinetics and pharmacodynamics require further elucidation.

Purpose of the Study:

  • To investigate the impact of local mepivacaine hydrochloride and vasopressin administration on peripheral blood flow, tissue dynamics, and anesthetic effects in mice.
  • To determine the dose-dependent effects of vasopressin on mepivacaine localization and anesthetic duration.
  • To evaluate the potential of vasopressin as an adjunct to mepivacaine for enhanced local anesthesia.

Main Methods:

  • Mepivacaine hydrochloride was administered with varying concentrations of vasopressin (0.03, 0.3, 3.0 U/mL) or epinephrine (10 µg/mL) via the tail tissue in 226 male ICR mice.
  • Peripheral blood flow and tissue dynamics were measured using 3H-labeled mepivacaine hydrochloride.
  • Anesthetic effect was assessed by measuring compound nerve action potential (CNAP) after administration with 0.3 U/mL vasopressin.

Main Results:

  • Local administration of vasopressin at concentrations ≥ 0.03 U/mL significantly reduced local blood flow.
  • Vasopressin prolonged the retention of 3H-mepivacaine in tail tissue in a concentration-dependent manner.
  • The addition of 0.3 U/mL vasopressin demonstrably enhanced and prolonged the anesthetic effect of mepivacaine, as evidenced by CNAP measurements.

Conclusions:

  • Vasopressin, when co-administered with mepivacaine hydrochloride, acts as an effective vasoconstrictor.
  • The findings support the potential clinical application of vasopressin as an adjunct to local anesthetics to improve efficacy and duration.
  • This study provides valuable insights into optimizing local anesthetic strategies through the use of vasoconstrictors like vasopressin.

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