PT - JOURNAL ARTICLE AU - Rosenblatt, Richard TI - Dextran as a Local Anesthetic Adjuvant: Its History and Current Status AID - 10.1136/rapm-00002370-198107000-00005 DP - 1981 Jul 01 TA - Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control PG - 108--111 VI - 6 IP - 3 4099 - http://rapm.bmj.com/content/6/3/108.short 4100 - http://rapm.bmj.com/content/6/3/108.full SO - Reg Anesth Pain Med1981 Jul 01; 6 AB - Twenty years have elapsed since R.E. Loder's introductory article on dextran and regional anesthesia, and throughout this period the use of dextran as a local anesthetic adjuvant has been controversial. The scientific data now confirm its adjuvant activity, albeit limited, and it appears that this property of dextran is due to the pH of the dextran solution. For various reasons dextran's acceptance into clinical practice has never been widespread, and there are indications that its usage might be discontinued entirely in the future because of technologic advances in local anesthetics and regional anesthesia.