Rje. Grouls et al., EPIDURAL AND INTRATHECAL N-BUTYL-P-AMINOBENZOATE SOLUTION IN THE RAT - COMPARISON WITH BUPIVACAINE, Anesthesiology, 86(1), 1997, pp. 181-187
Background Epidural administration of an aqueous suspension of n-butyl
-p-aminobenzoate (BAB) to humans results in long-lasting sensory block
ade without motor block. The dose-response of BAB administered epidura
lly and intrathecally as a solution was studied in rats to define the
local anesthetic properties in an established animal model. Methods: T
he time course of changes in tail withdrawal latency and motor functio
n were determined in rats after epidural or intrathecal administration
of solutions of BAB or bupivacaine. The dose-response relation was de
termined and median effective dose values were calculated. Results: Af
ter epidural and intrathecal administration of BAB solutions, the onse
t and duration of the antinociceptive action were comparable to bupiva
caine. Median effective dose values for tail-withdrawal latency of 6 s
or more were significantly greater for BAB. After both routes of admi
nistration, BAB clearly affected motor function. Conclusions: When adm
inistered epidurally and intrathecally as a solution, BAB is a local a
nesthetic of relative low potency with onset and duration of action co
mparable to those of bupivacaine. These findings suggest that the long
-lasting action obtained after applying BAB suspension results from th
e slow dissolution (continuous release) of the solid BAB deposited in
the epidural space.