Anesthetic drugs case study

On the other hand, in Japan, Sang-Bai-Pi (the root bark of Chinese mulberry tree) imported from China has been used as an herbal medicine, hence a study of the components of this crude drug purchased in the Japanese market was undertaken. Its phenolic components are different from those of Japanese mulberry tree. For example, morusin (3) and kuwanon G (1) are the main phenolic components of Japanese mulberry tree, in the case of Sang-Bai-Pi , these components are minor ones, while sanggenons A (4) [16], C (5) [17], and D (33) [61] are the main components [24]. Sanggenons C (5) and D (33) showed the hypotensive effects as follows Sanggenon C (5) caused transient decrease in arterial blood pressure at the doses of 1 mg/kg in pentobarbital-anesthetized rabbit by 15 mm Hg, while at the doses of 5 mg/kg the compound (5) caused a transient decrease by 100 mm Hg, which continued for more... 

Anesthetized rats are used for testing the side effect potential of a candidate compound on intermediary metabolism in liver, muscle and adipose tissue with subsequent effects on metabolic blood parameters (e.g. glucose, lactate, free fatty acids, triglycerides) and insulin. The use of anesthetized rats represents more a principal assessment of the pharmacological side effect potential since the candidate compound must be administered intravenously or intraperitoneally (enteral/intestinal administration should be avoided due to the anesthesia-induced decrease in intestinal motility with subsequent impairment of enteral absorption), compared to the study in conscious rats in which the candidate compound can be studied after oral administration, which in most cases represents the clinical route of administration for small molecular drugs. 

Lipid rescue as a treatment of bupivacaine overdose there is evidence with animal studies [1] that Intralipid, a commonly available intravenous lipid emulsion, is effective in treating the severe cardiotox-icity that may result secondary to local anesthetic overdose. In addition, there are human case reports of successful use of Intralipid for rescue from cardiotoxic and cardiovascular collapse from systemic bupivacaine overdose [2] as well as a widespread campaign to pub-hcize Intrahpid as an available drug for emergencies in all anesthetizing locations where bupivacaine is used. 

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