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Anesth Analg 1987; 66:1272-1276
© 1987 International Anesthesia Research Society
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Effects of Fentanyl and Sufentanil on Peripheral Mammalian Nerves

Aaron J. Gissen, MD, Laverne D. Gugino, PhD, MD, Sanjay Datta, MD, John Miller, MD, and Benjamin G. Covino, PhD, MD

Received from the Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Abstract

The effects of fentanyl and sufentanil on peripheral nerves were evaluated in isolated sheathed and desheathed rabbit vagus nerves. The action potential amplitudes of A and C fibers were recorded before and after a 30-min exposure to 50 and 100 µg/ml of fentanyl and sufentanil. A reversible decrease in the action potential amplitude of A fibers in desheathed nerves was observed after exposure to 100 µg/ml of each drug. The action potential amplitude of C fibers was also decreased but not to the same degree as was the A fiber action potential. Pretreatment with naloxone failed to block the reduction in action potential amplitude produced by the two opiates. No evidence of irreversible conduction blockade indicative of local neural toxicity was seen in these studies. The results suggest that high concentrations of fentanyl and sufentanil may exert a weak local anesthetic-type action on peripheral nerves.

Key Words: ANALGESICS—fentanyl, sufentanil • NERVES—fentanyl, sufentanil




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1987 by the International Anesthesia Research Society.