Concentration of Epinephrine and Anesthetic in Local Anesthetics Exposed to Environmental Extremes

Abstract

The purpose of this study was to evaluate the concentrations of epinephrine and anesthetic in dental anesthetic carpules after storage in simulated deployed environments. Two test environments, the first simulating the hot environment of Djibouti, Djibouti and the second simulating the cold environment of Bishkek, Kyrgyzstan, were used to store carpules of Articaine 4 with 1:100,000 epinephrine and Lidocaine 2 with 1:100,000 epinephrine. The Djibouti environment cycled between 41C/39 humidity and 31C/50 humidity. The Bishkek environment cycled between -4C and -8C. Control groups were stored at 22.2C and 50 humidity. Epinephrine and anesthetic concentrations in Articaine and Lidocaine local anesthetics were analyzed using highperformance liquid chromatography (HPLC) at baseline, 1 week, 2 weeks, and 1 month of storage. The levels of anesthetic and epinephrine were statistically analyzed per anesthetic type and temperature with Dunnetts tests comparing each week of storage to baseline (alpha=0.05). No significant difference in the levels of anesthetic or epinephrine was found based on storage temperature or time for either type of anesthetic (p>0.05). Storage of cartridges of anesthetic over time at hot or cold temperatures does not significantly affect the levels of anesthetic or epinephrine.

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Document Details

Document Type
Technical Report
Publication Date
Jul 28, 2014
Accession Number
AD1127832

Entities

People

  • Paula Morse

Organizations

  • Uniformed Services University of the Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Anesthetics
  • Chromatography
  • Climate Change
  • Dentistry
  • Dentists
  • Department Of Defense
  • Emergencies
  • Emergency Medicine
  • Environment
  • Gas Chromatography
  • Governments
  • Health Services
  • Humidity
  • Liquid Chromatography
  • Local Anesthetics
  • Materials
  • Medical Personnel
  • Military Personnel
  • Schools
  • Universities

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