RT Journal Article SR Electronic T1 THE FATE OF INTRATHECAL PROCAINE AND THE SPINAL FLUID LEVEL REQUIRED FOR SURGICAL ANESTHESIA JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 78 OP 82 VO 100 IS 1 A1 Helrich, Martin A1 Papper, E. M. A1 Brodie, Bernard B. A1 Fink, Marvin A1 Rovenstine, E. A. YR 1950 UL http://jpet.aspetjournals.org/content/100/1/78.abstract AB 1. The decline of procaine concentration which limits the duration of spinal anesthesia is not due to chemical breakdown of the drug in the spinal fluid, but to absorption into the systemic circulation where it is metabolized to p-aminobenzoic acid and diethylaminoethanol. 2. The concentrations of procaine at various levels of the subarachnoid space decline at the same rate. 3. There is a critical concentration of procaine, about 0.2 mgm. per ml., which is necessary for sensory anesthesia.