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Esters and Amides – Local Anesthetics

by Pravin Shukle, MD
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    About the Lecture

    The lecture Esters and Amides – Local Anesthetics by Pravin Shukle, MD is from the course CNS - Pharmacology. It contains the following chapters:

    • Esters - Topical Agents
    • Esters - Parenteral Agents
    • Amides - Medium Action
    • Amides - Long Action

    Included Quiz Questions

    1. Ester anesthetics are generally considered short term anesthetics while amide anesthetics are considered medium or long term anesthetics.
    2. Amide anesthetics are more potent than ester anesthetics.
    3. Ester anesthetics are more potent than amide anesthetics.
    4. Amide anesthetics have a high potential for abuse.
    5. Amide anesthetics are generally considered short term anesthetics while ester anesthetics are considered medium or long term anesthetics.
    1. A 17-year-old with nasal polyps and a history of substance abuse.
    2. A 44-year-old female with a history of fibroids and dental caries.
    3. A 4-year-old requiring direct nasal turbinate inspection with a nasal speculum and local anesthesia.
    4. A 78-year-old female with iatrogenic gingival hyperplasia and a history of seizures.
    5. A 25-year-old female with difficulty becoming pregnant.
    1. Cardiotoxicity
    2. Vasodilation
    3. Vasoconstriction
    4. Disruption of RAAS system
    5. Pulmonary fibrosis
    1. She is likely having a reaction to the ester anesthetic breakdown byproducts.
    2. This is probably an undiagnosed congenital metabolic disorder.
    3. This could be an idiopathic porphyria.
    4. She is likely having a reaction to the amide anesthetic breakdown byproducts.
    5. She is likely suffering from a factitious disorder.

    Author of lecture Esters and Amides – Local Anesthetics

     Pravin Shukle, MD

    Pravin Shukle, MD


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