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This may reflect variability in the function of the molecular target of the drug, or in the pathophysiologic context in which the drug interacts with its receptor-target e. With growing public concern over intraoperative awareness, understanding the mechanisms responsible for this variability may facilitate implementation of patient-specific preventative strategies. Genetic Variability in Pain Response Similar to the observed variability in anesthetic potency, the response to painful stimuli and analgesic manipulations varies among individuals. Increasing evidence suggests that pain behavior in response to noxious stimuli and its modulation by the central nervous system in response to drug administration or environmental stress, as well as the development of persistent pain conditions through pain amplification, are strongly influenced by genetic factors. Various strains of knockout mice lacking target genes like neurotrophins and their receptors e.
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As the dose increases, convulsions may occur. Initially, due to central nervous system effects, the rate of respiration increases. As the drug concentration increases, depression of the medulla results in breathing becoming rapid and shallow. Larger doses depress respiration and lower the level of consciousness of the patient. Local anaesthetics can affect both autonomic nerves and the neuromuscular junction. Apart from their local anaesthetic action, local anaesthetics have anticholinergic activity.
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Buscopan is given intravenously. Buscopan produces typical anticholinergic side effects of blurred vision, dry mouth, tachycardia and urinary retention.
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Bacterial infection of the skin causes a condition known as cellulitis, which requires systemic antibiotics. As does impetigo if it is extensive, although small patches can be treated topically.
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Other techniques for local anaesthetic administration are given for the sake of completeness. EMLA (eutectic mixture of local anaesthetics; a combination of two local anaesthetics, lidocaine and prilocaine in a cream) is capable of producing skin thickness analgesia from topical administration.
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