Shortest acting local anaesthetic agent is –
**Core Concept**
Procaine is a local anesthetic agent that belongs to the ester class of amides. It is metabolized by plasma cholinesterase, which results in a shorter duration of action compared to other local anesthetics.
**Why the Correct Answer is Right**
Procaine is the shortest-acting local anesthetic agent due to its rapid hydrolysis by plasma cholinesterase. This enzyme breaks down procaine into p-aminobenzoic acid (PABA) and diethylaminoethanol, which are then excreted by the kidneys. The rapid metabolism of procaine leads to a shorter duration of action, typically lasting around 4-6 minutes. This is in contrast to other local anesthetics like lidocaine, which can last for 30-60 minutes, and bupivacaine, which can last for several hours.
**Why Each Wrong Option is Incorrect**
**Option B:** Lidocaine is an intermediate-acting local anesthetic agent, not the shortest-acting. It is metabolized by the liver and has a duration of action of around 30-60 minutes.
**Option C:** Tetracaine is a long-acting local anesthetic agent, often used for spinal anesthesia. It has a duration of action of several hours, making it an incorrect choice.
**Option D:** Bupivacaine is also a long-acting local anesthetic agent, known for its high potency and long duration of action. It can last for several hours and is often used for regional anesthesia.
**Clinical Pearl / High-Yield Fact**
Procaine's short duration of action makes it useful for procedures where a quick onset and short duration are desired, such as in minor surgical procedures or for nerve blocks. However, its rapid metabolism can also lead to a higher dose requirement, which may increase the risk of systemic toxicity.
**✓ Correct Answer: A. Procaine. Procaine is a short-acting local anesthetic agent due to its rapid hydrolysis by plasma cholinesterase.**