Hydrogen Peroxide Plasma Sterilization Sabotage the Efficacy of Lidocaine HCl Injection

Avanti, Christina and Sumiyani, Ririn and Aprilia, Dini (2023) Hydrogen Peroxide Plasma Sterilization Sabotage the Efficacy of Lidocaine HCl Injection. The Open Anesthesia Journal, 17. (In Press)

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Official URL / DOI: https://openanesthesiajournal.com/VOLUME/17/EPUB-A...

Abstract

Background: Lidocaine HCl 2% as an anesthetic drug must guarantee its sterility to avoid microbial contamination. In efforts to maintain the sterile preparation of Lidocaine HCl 2% before use in hospitals, some anesthesiologists opt for re-sterilization. Objective: To evaluate the impact of plasma sterilization using hydrogen peroxide on Lidocaine HCl levels employing validated Ultra Performance Liquid Chromatography (UPLC) assay. Methods: The 2% Lidocaine HCl samples were separated into two groups, one undergoing re-sterilization with hydrogen peroxide and the other handled only with aseptic techniques. The chromatographic assay was performed using a Waters Corp Acquity UPLC® H-Class system and a Waters Corp Acquity UPLC® BEH C18 column, with a mobile phase of 20% Acetonitrile and 80% Acetate Buffer pH 3.4, flow rate of 0.3 mL/min and total duration of 4.5 minutes. Results: The results showed a decrease in Lidocaine HCl levels to 1.88% after re-sterilization and 2.01% without re-sterilization. Conclusion: These findings suggest that re-sterilization with hydrogen peroxide plasma sterilization leads to a significant decrease in Lidocaine HCl levels, causing non-compliance with pharmacopeia standards.

Item Type: Article
Uncontrolled Keywords: Hydrogen Peroxide, Plasma Sterilization, Lidocaine HCl, Anesthetic Drugs, Sterility, UPLC
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Pharmacy > Department of Pharmacy
Depositing User: Christina Avanti 1135
Date Deposited: 22 Sep 2023 08:49
Last Modified: 25 Oct 2023 04:10
URI: http://repository.ubaya.ac.id/id/eprint/44984

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