1. How does the sensitivity for blockade by a LA compare regarding the following types of fibres:
(a) myelinated fibres with unmyelinated fibres:- Smaller myelinated fibres are blocked easier than larger unmyelinated fibres.
(b) pressure/touch nerves with the dorsal nerves that transmit pain impulses:- Fibres in the middle of a thick nerve bundle is blocked slower than those at the outside of the bundle.
2. A list of the effects of LA on other tissues.
Heart: Class 1 anti-arrhythmic drugs block the sodium channels in the heart with the goal of blocking the propagation of an action potential and prolonging the refractory period.
Skeletal muscles: LA has very weak blocking action, therefore, are not used in clinical application.
3. What is the basis for the selection of a LA?
Systemic or localized distribution and absorption.
4. Why are LA solutions sometimes saturated with CO2?
To lower the pH of the blood during the use of LA.
5. Which of the LA are typically used for surface anaesthesia?
Benzocaine
Cocaine
Oxybupuvacaine