Literature DB >> 12913336

Local anesthetics inhibit uterine activity in vitro. Possible application on preterm labor prevention and treatment.

Dario O Fauza1, Daniel S Kohane, Elizabeth B Beeuwkes, Nicholas Clayton, Timothy J Maher.   

Abstract

OBJECTIVE: Analysis of the effects of local anesthetics upon the gravid uterus.
METHODS: Isolated strips of pregnant-rat myometrium were placed within tissue baths. Muscular activity was then recorded by a force transducer, at cumulative concentrations of either procaine, lidocaine, or ropivacaine.
RESULTS: The effects of myometrial activity were non-monotonic. At lower concentrations, an increase in contraction frequency was noted, concomitant with a depression in amplitude. As the concentrations increased, both amplitude and frequency were depressed until, eventually, activity was abolished.
CONCLUSIONS: Local anesthetics administered in situ consistently inhibit or completely arrest overall myometrial activity. These agents may prove clinically useful in preterm labor management, if administered locally to the myometrium via suitable slow release drug delivery systems, warranting further trials in vivo. Copyright 2003 S. Karger AG, Basel

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Year:  2003        PMID: 12913336     DOI: 10.1159/000071968

Source DB:  PubMed          Journal:  Fetal Diagn Ther        ISSN: 1015-3837            Impact factor:   2.587


  3 in total

1.  A randomized study of the effects of perioperative i.v. lidocaine on hemodynamic and hormonal responses for cesarean section.

Authors:  Mohamed R El-Tahan; Osama M Warda; Douaa G Diab; Eyad A Ramzy; Mohamed K Matter
Journal:  J Anesth       Date:  2009-05-15       Impact factor: 2.078

2.  Effects of Ropivacaine in Patient-Controlled Epidural Analgesia on Uterine Electromyographic Activities during Labor.

Authors:  Xueya Qian; Qingning Wang; Xinxu Ou; Pin Li; Baisong Zhao; Huishu Liu
Journal:  Biomed Res Int       Date:  2018-11-07       Impact factor: 3.411

3.  Uterine contractility changes in a perfused swine uterus model induced by local anesthetics procaine, lidocaine, and ropivacaine.

Authors:  Fabian Weinschenk; Ralf Dittrich; Andreas Müller; Laura Lotz; Matthias W Beckmann; Stefan W Weinschenk
Journal:  PLoS One       Date:  2018-12-06       Impact factor: 3.240

  3 in total

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