Profound motor blockade with epidural ropivacaine following spinal bupivacaine

Anaesthesia

Volumn 54, Issue 9, 1999, Pages 895-898

  Buggy, D J ^a   Allsager, C M ^a   Coley, S ^a  

^a UNIVERSITY OF LEICESTER   (United Kingdom)

Author keywords

Anaesthesia, spinal, epidural; Complications, motor block; Local anaesthetics, ropivacaine, bupivacaine

Indexed keywords

BUPIVACAINE; LOCAL ANESTHETIC AGENT; ROPIVACAINE;

ADULT; ANESTHESIA; ARTICLE; CASE REPORT; CESAREAN SECTION; EPIDURAL DRUG ADMINISTRATION; FEMALE; HUMAN; INTRATHECAL DRUG ADMINISTRATION; MOBILIZATION; MOTOR NERVE BLOCK; PATIENT CONTROLLED ANALGESIA;

ADULT; AMIDES; ANALGESIA, PATIENT-CONTROLLED; ANESTHESIA, OBSTETRICAL; ANESTHETICS, LOCAL; BUPIVACAINE; CESAREAN SECTION; DRUG SYNERGISM; FEMALE; HUMANS; MOVEMENT; PREGNANCY;

EID: 0032865007     PISSN: 00032409     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2044.1999.01006.x     Document Type: Article

References (18)

1. Scott DB, Lee A, Fagan D, Bowler GMR, Bloomfield P, Lundh R. Acute toxicity of ropivacaine compared with that of bupivacaine. Anesthesia and Analgesia 1989; 69: 563-9.
2. Morrison LM, Emanuelsson BN, McClure JH, et al. Efficacy and kinetics of extradural ropivacaine: comparison with bupivacaine. British Journal of Anaesthesia 1994; 72: 164-9.
3. Scott DA, Chambley DM, Mooney PH, Deam RK, Mark AH, Hagglof B. Epidural ropivacaine infusion for postoperative analgesia after major lower abdominal surgery - a dose finding study. Anesthesia and Analgesia 1995; 81: 982-6.
4. Schug SA, Scott DA, Payne J, Mooney PH, Hagglof B. Postoperative analgesia by continuous extradural infusion of ropivacaine after upper abdominal surgery. British Journal of Anaesthesia 1996; 76: 487-91.
5. Turner G, Blake D, Buckland M, et al. Continuous extradural infusion of ropivacaine for prevention of postoperative pain after major orthopaedic surgery. British Journal of Anaesthesia 1996; 76: 606-10.
6. Etches RC, Writer WD, Ansley D, et al. Continuous epidural ropivacaine 0.2% for analgesia after lower abdominal surgery. Anesthesia and Analgesia 1997; 84: 784-90.
7. Muldoon T, Milligan K, Quinn P, Connolly DC, Nilsson K. Comparison between extradural infusion of ropivacaine or bupivacaine for the prevention of post operative pain after total knee arthroplasty. British Journal of Anaesthesia 1998; 80: 680-1.
8. Griffin RP, Reynolds F. Extradural anaesthesia for Caesarean section: a double-blind comparison of 0.5% ropivacaine with bupivacaine. British Journal of Anaesthesia 1995; 74: 512-16.
9. Scott DA, Emanuelsson BM, Mooney PH, Cook RJ, Junestrans C. Pharmacokinetics and efficacy of long term epidural ropivacaine infusion for post operative analgesia. Anaesthesia and Analgesia 1997; 85: 1322-30.
10. Zaric D, Nydahl PA, Philipsson L, Samuelsson L, Heierson A, Axelsson G. The effect of continuous lumbar epidural infusion or ropivacaine (0.1%, 0.2%, 0.3%) and 0.25% bupivacaine on sensory and motor block in volunteers: a double blind study. Regional Anesthesia 1996; 21: 14-25.
11. Finnegold-Gammon H, Madell G, Thimmons J, Ramathan S. Epidural labor analgesia with ropivacaine fentanyl infusion causes less motor block than bupivacaine-fentanyl infusion. Anesthesiology 1998; 89: A1022.
12. Meister G, Owen M, D'Angelo R, Gaver R. Comparison of 0.125% ropivacaine/fentanyl 2 μg/ml and 0.125% bupivacine/fentanyl 2 μg/ml in laboring patients. Anesthesiology 1998; 89: A1023.
13. Vercauteren MP, Vandeput DM, Meert TF, Adriaensen HA. Patient-controlled epidural analgesia following Caesarean section: the effect of adrenaline and clonidine admixture. Anaesthesia 1994; 49: 767-71.
14. McClure JH. Ropivacaine. British Journal of Anaesthesia 1996; 76: 300-7.
15. Wildsmith JAW, Brown DT, Paul D, Johnson S. Structure-activity relationships in differential nerve block at high and low frequency stimulation. British Journal of Anaesthesia 1989; 63: 444-52.
16. Dietz FB, Jaffe RA. Bupivacaine preferentially blocks ventral root axons in rats. Anesthesiology 1997; 86: 172-80.
17. Capogna G, Celleno D, Fusco P, Lyons G, Columb M. Relative potencies of bupivacaine and ropivacaine for analgesia in labour. British Journal of Anaesthesia 1999; 82: 371-3.
18. Hassan HG, Youssef H, Renck H. Duration of experimental nerve block by combinations of local anaesthetic agents. Acta Anaesthesiologica Scandinavica 1993; 37: 285-2.