Adjuvant Drugs to Local Anesthetics

Local anesthetics have a potential to be used in a wide variety of situations including central neuraxial blocks, peripheral nerve blocks, intravenous, and local infiltration both for surgeries and acute and chronic pain management. Their use can be limited by their duration of action and the dose-d...

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Autores principales: Mehta, Nandita, Qazi, Sayyidah Aasima tu Nisa
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Lenguaje:inglés
Publicado: IntechOpen 2020
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Acceso en línea:https://www.intechopen.com/chapters/71663
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author Mehta, Nandita
Qazi, Sayyidah Aasima tu Nisa
author_browse Mehta, Nandita
Qazi, Sayyidah Aasima tu Nisa
author_facet Mehta, Nandita
Qazi, Sayyidah Aasima tu Nisa
author_sort Mehta, Nandita
building IntechOpen
collection Acceso abierto
description Local anesthetics have a potential to be used in a wide variety of situations including central neuraxial blocks, peripheral nerve blocks, intravenous, and local infiltration both for surgeries and acute and chronic pain management. Their use can be limited by their duration of action and the dose-dependent adverse effects on the cardiac and central nervous system. Adjuvants are drugs which, when co-administered along with local anesthetic agents, improve the latency of onset and duration of analgesia and counteract disadvantageous effects of local anesthetics. There is a wide armamentarium of adjuvant drugs to choose to be added in neuraxial and peripheral nerve blocks. They can be broadly divided into non-opioids and opioids, with non-opioids being vasoconstrictors, α2-adrenoceptor agonists, anti-inflammatory agents, acetylcholine esterase inhibitors (neostigmine), adenosine, ketorolac, midazolam, magnesium, and sodium bicarbonate and opioids being lipophilic (fentanyl and sufentanil) and hydrophilic (morphine).
doi_str_mv 10.5772/intechopen.91980
first_indexed 2026-10-15T21:38:32Z
format Book Chapter
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spelling intech-716632020-05-06 Adjuvant Drugs to Local Anesthetics Nandita Mehta Sayyidah Aasima tu Nisa Qazi Health Sciences Local anesthetics have a potential to be used in a wide variety of situations including central neuraxial blocks, peripheral nerve blocks, intravenous, and local infiltration both for surgeries and acute and chronic pain management. Their use can be limited by their duration of action and the dose-dependent adverse effects on the cardiac and central nervous system. Adjuvants are drugs which, when co-administered along with local anesthetic agents, improve the latency of onset and duration of analgesia and counteract disadvantageous effects of local anesthetics. There is a wide armamentarium of adjuvant drugs to choose to be added in neuraxial and peripheral nerve blocks. They can be broadly divided into non-opioids and opioids, with non-opioids being vasoconstrictors, α2-adrenoceptor agonists, anti-inflammatory agents, acetylcholine esterase inhibitors (neostigmine), adenosine, ketorolac, midazolam, magnesium, and sodium bicarbonate and opioids being lipophilic (fentanyl and sufentanil) and hydrophilic (morphine). IntechOpen 2020-05-06 Chapter, Part Of Book https://www.intechopen.com/chapters/71663 doi:10.5772/intechopen.91980 en ISBN:978-1-78984-943-1 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/8720 ; Topics in Local Anesthetics
spellingShingle Health Sciences
Mehta, Nandita
Qazi, Sayyidah Aasima tu Nisa
Adjuvant Drugs to Local Anesthetics
title Adjuvant Drugs to Local Anesthetics
title_full Adjuvant Drugs to Local Anesthetics
title_fullStr Adjuvant Drugs to Local Anesthetics
title_full_unstemmed Adjuvant Drugs to Local Anesthetics
title_short Adjuvant Drugs to Local Anesthetics
title_sort adjuvant drugs to local anesthetics
topic Health Sciences
url https://www.intechopen.com/chapters/71663
work_keys_str_mv AT mehtanandita adjuvantdrugstolocalanesthetics
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