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Anaes SAQsLocal anaesthetic pharmacology

Anaes SAQs · Local anaesthetic pharmacology

Amide and ester local anaesthetics

Short-answer question on local-anaesthetic chemistry, ester vs amide, and structure-activity relationships.

10 marks10 min4 min readVerification in progress

Target exams

ANZCAFRCAABAEDAICFCAIFCA_SA
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Target exams

ANZCAFRCAABAEDAICFCAIFCA_SA
Prompt
Classify local anaesthetics into amides and esters, describe how their chemistry determines their metabolism and allergy risk, and outline the structure-activity relationships that govern potency, onset and duration.

Question

Classify local anaesthetics into amides and esters, describe how their chemistry determines their metabolism and allergy risk, and outline the structure-activity relationships that govern potency, onset and duration.

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References6ShowHide
  1. [1]Galata Z, et al. Local anesthetic hypersensitivity: Frequently suspected, rarely proven: A retrospective study of 101 patients. Allergy Asthma Proc, 2026.PMID 42343493
  2. [2]Chooklin S, et al. In Search of Ideal Analgesia: Classical and Deep Rectus Sheath Block in Laparoscopic Cholecystectomy. Local Reg Anesth, 2026.PMID 42358227
  3. [3]Ogu E, et al. The Effect of Liposomal Bupivacaine and Obesity on Postoperative Opioid Consumption in Children With Scoliosis. J Pediatr Orthop, 2026.PMID 42351400
  4. [4]Little K. Guidelines in Practice: Local-Only Anesthesia. AORN J, 2026.PMID 42360750
  5. [5]Çopur İ, et al. Association Between Local Anesthetic Volume-Dose Combinations and Optic Nerve Sheath Diameter as an Indirect Marker of Intracranial Pressure During Ultrasound-Guided Supraclavicular Brachial Plexus Block: A Randomized Trial. Medicina (Kaunas), 2026.PMID 42356116
  6. [6]de Souza PMF, et al. Opioid-sparing analgesia with clonidine versus fentanyl in inguinal hernia repair: a randomized clinical trial. Hernia, 2026.PMID 42364024
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