Effect of local anesthetics on renal function: An animal study in Iran

Background: Although most of the metabolism of local anesthetics (LAs) takes place in the liver, no study has investigated the effect of these anesthetics on the kidney function of single-kidney humans or animals. The present study was conducted to examine the effect of LAs on renal function in sing...

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Main Authors: Rasul Gheisari, Masoud Saatchi, Firoozeh Estakhri, Mehrdad Vossoughi, Mohammad Bazaei, Zahra Khosravani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Dental Research Journal
Subjects:
Online Access:http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=106;epage=106;aulast=Gheisari
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author Rasul Gheisari
Masoud Saatchi
Firoozeh Estakhri
Mehrdad Vossoughi
Mohammad Bazaei
Zahra Khosravani
author_facet Rasul Gheisari
Masoud Saatchi
Firoozeh Estakhri
Mehrdad Vossoughi
Mohammad Bazaei
Zahra Khosravani
author_sort Rasul Gheisari
collection DOAJ
description Background: Although most of the metabolism of local anesthetics (LAs) takes place in the liver, no study has investigated the effect of these anesthetics on the kidney function of single-kidney humans or animals. The present study was conducted to examine the effect of LAs on renal function in single-kidney rats. Materials and Methods: The present experimental animal study with two control groups was done in an animal laboratory. Forty-two rats were randomly assigned to seven groups of six rats, including two control groups and five experimental groups. The experimental groups underwent intraperitoneal anesthesia with 2% lidocaine, 2% lidocaine with 1:80,000 epinephrine, 4% articaine, 3% prilocaine with 0.03 IU Felypressin, and 3% mepivacaine, respectively. Unilateral nephrectomy was done. After 24 h, the rats' blood urea nitrogen (BUN), serum creatinine (Cr), and blood specific gravity (BSG) were measured. A standard dose of anesthetics was injected into the peritoneum for 4 days afterward. Then, these indices were measured again 24 h after the last injection. Data were analyzed using IBM SPSS (version 21.0). One-way analysis of variance, Tukey's honestly significant difference post hoc, and paired t-tests were used for statistical analysis. P < 0.05 was considered statistically significant. Results: The results indicated significant differences among groups in the rats' BUN and serum Cr 24 h after nephrectomy (P < 0.05). However, there were no significant differences in BUN, BSG, and Cr among groups after the interventions. Conclusion: LAs did not affect renal function in single-kidney rats. Therefore, dentists can use the anesthetics in single-kidney people.
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spelling doaj.art-02d67b99ec294f42903d28d4a1282c542024-01-18T11:19:50ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552023-01-01201106106Effect of local anesthetics on renal function: An animal study in IranRasul GheisariMasoud SaatchiFiroozeh EstakhriMehrdad VossoughiMohammad BazaeiZahra KhosravaniBackground: Although most of the metabolism of local anesthetics (LAs) takes place in the liver, no study has investigated the effect of these anesthetics on the kidney function of single-kidney humans or animals. The present study was conducted to examine the effect of LAs on renal function in single-kidney rats. Materials and Methods: The present experimental animal study with two control groups was done in an animal laboratory. Forty-two rats were randomly assigned to seven groups of six rats, including two control groups and five experimental groups. The experimental groups underwent intraperitoneal anesthesia with 2% lidocaine, 2% lidocaine with 1:80,000 epinephrine, 4% articaine, 3% prilocaine with 0.03 IU Felypressin, and 3% mepivacaine, respectively. Unilateral nephrectomy was done. After 24 h, the rats' blood urea nitrogen (BUN), serum creatinine (Cr), and blood specific gravity (BSG) were measured. A standard dose of anesthetics was injected into the peritoneum for 4 days afterward. Then, these indices were measured again 24 h after the last injection. Data were analyzed using IBM SPSS (version 21.0). One-way analysis of variance, Tukey's honestly significant difference post hoc, and paired t-tests were used for statistical analysis. P < 0.05 was considered statistically significant. Results: The results indicated significant differences among groups in the rats' BUN and serum Cr 24 h after nephrectomy (P < 0.05). However, there were no significant differences in BUN, BSG, and Cr among groups after the interventions. Conclusion: LAs did not affect renal function in single-kidney rats. Therefore, dentists can use the anesthetics in single-kidney people.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=106;epage=106;aulast=Gheisariarticainekidney function testlidocainelocal anesthesiamepivacaineprilocainesingle kidney
spellingShingle Rasul Gheisari
Masoud Saatchi
Firoozeh Estakhri
Mehrdad Vossoughi
Mohammad Bazaei
Zahra Khosravani
Effect of local anesthetics on renal function: An animal study in Iran
Dental Research Journal
articaine
kidney function test
lidocaine
local anesthesia
mepivacaine
prilocaine
single kidney
title Effect of local anesthetics on renal function: An animal study in Iran
title_full Effect of local anesthetics on renal function: An animal study in Iran
title_fullStr Effect of local anesthetics on renal function: An animal study in Iran
title_full_unstemmed Effect of local anesthetics on renal function: An animal study in Iran
title_short Effect of local anesthetics on renal function: An animal study in Iran
title_sort effect of local anesthetics on renal function an animal study in iran
topic articaine
kidney function test
lidocaine
local anesthesia
mepivacaine
prilocaine
single kidney
url http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=106;epage=106;aulast=Gheisari
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AT firoozehestakhri effectoflocalanestheticsonrenalfunctionananimalstudyiniran
AT mehrdadvossoughi effectoflocalanestheticsonrenalfunctionananimalstudyiniran
AT mohammadbazaei effectoflocalanestheticsonrenalfunctionananimalstudyiniran
AT zahrakhosravani effectoflocalanestheticsonrenalfunctionananimalstudyiniran