Ropivacaine produces sensory blockade in the lumbar sacral region more frequently than mepivacaine in lower thoracic epidural anesthesia

Journal of Anesthesia

Volumn 18, Issue 4, 2004, Pages 250-256

  Suzuki, Manzo ^a   Sugimoto, Kikuzo ^a   Shimada, Yoichi ^a  

^a NIPPON MEDICAL SCHOOL MUSASHI KOSUGI HOSPITAL   (Japan)

Author keywords

Epidural anesthesia; Local anesthetics; Sacral spread

Indexed keywords

ATROPINE; EPHEDRINE; HYDROXYZINE; ISOFLURANE; MEPIVACAINE; NITROUS OXIDE; OXYGEN; PROPOFOL; ROPIVACAINE; VECURONIUM;

ADULT; ARTICLE; BRADYCARDIA; CLINICAL ARTICLE; CLINICAL TRIAL; COLD SENSATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DERMATOME; DOUBLE BLIND PROCEDURE; EPIDURAL SPACE; FEMALE; HEART ARRHYTHMIA; HUMAN; HYPOTENSION; LUMBAR SPINE; MALE; NERVE BLOCK; PRICK TEST; RANDOMIZED CONTROLLED TRIAL; SACRAL SPINAL CORD; THORAX EPIDURAL ANESTHESIA; TOUCH;

ADULT; AMIDES; ANESTHESIA, EPIDURAL; ANESTHETICS, LOCAL; DOUBLE-BLIND METHOD; FEMALE; HUMANS; LUMBOSACRAL PLEXUS; MALE; MEPIVACAINE; MIDDLE AGED; NERVE BLOCK;

EID: 8444235946     PISSN: 09138668     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00540-004-0262-4     Document Type: Article

References (20)

1. Rud J (1961) Local anesthetics: An electrophysiological investigation of local anesthesia of peripheral nerves with special reference to xylocaine. Acta Physiol Scand 51 [Suppl]:1-171
2. Hogan Q (1996) Size of human lower thoracic and lumbosacral nerve roots. Anesthesiology 85:37-42
3. Galindo A, Hernandez J, Benavides S, Ortegon de Munoz, Bonica JJ (1975) Quality of spinal extradural anaesthesia: the influence of spinal nerve root diameter. Br J Anaesth 47:41-46
4. Cousins M (1989) Acute postoperative pain. In: Wall PD, Melzack R (eds) Textbook of pain, 2nd edn. Churchill Livingstone, Oxford, pp 284-305
5. Markham A, Faulds D (1996) Ropivacaine: A review of its pharmacological and therapeutic use in regional anesthesia. Drugs 52:429-449
6. Kaneko T, Iwama H (1999) The association between injected volume of local anesthetic and spread of epidural anesthesia: A hypothesis. Reg Anesth Pain Med 24:153-157
7. Liu SS, Ware PD, Rajendran S (1997) Effects of concentration and volume of 2-chloroprocaine on epidural anesthesia in volunteers. Anesthesiology 86:1288-1293
8. Wood MB, Rubin AP (1993) A comparison of epidural 1% ropivacaine and 0.75% bupivacaine for lower abdominal gynecologic surgery. Anesth Analg 76:1274-1278
9. Finucane BT, Sandler AN, Mckenna J, Reid D, Milner AL, Friedlander M, Muzyka D, Callaghan-Enright SO, Chan V (1996) A double-blind comparison of ropivacaine 0.5%, 0.75%, 1.0% and bupivacaine 0.5%, injected epidurally, in patients undergoing abdominal hysterectomy. Can J Anaesth 43:442-449
10. Boidin MP, Sulimma H (1991) Fentanyl in 2% mepiracaine compared with fentanyl in 0.5% bupivacaine: Two parallel controlled double blind studies. Acta Anaesth Belg 42:93-99
11. Shantha TR, Evans JA (1972). The relationship of epidural anesthesia to neural membranes and arachnoid villi. Anesthesiology: 543-557
12. Bromage PR (1975) Mechanism of action of local anesthetics. Br J Anaesth 47:199-211
13. Arakawa M, Aoyama Y, Ohe Y (2002) Epidural bolus injection with alkalinized lidocaine improves blockade of the first sacral segment - a brief report. Can J Anaesth 49:561-570
14. Bernards CM, Hill HF (1992) Physical and chemical properties of drug molecules governing their diffusion through the spinal meninges. Anesthesiology 77:750-756
15. Clement R, Malinovsky, Le Colle P, Dollo G, Chevanne F, Le Vergo R (1999) Cerebrospinal fluid bioavailability and pharmacokinetics of bupivacaine and lidocaine after intrathecal and epidural administration in rabbits using microdialysis. J Pharmacol Exp Ther 289:1015-1021
16. Tucker GT, Mather LE (1998) Properties, absorption, and disposition of local anesthetic agents. In: Cousin MJ, Bridenbaugh PO (eds) Neural blockade in clinical anesthesia and management of pain, 3rd edn. Lippincott-Raven, Philadelphia, pp 55-95
17. Liu SS, Ware PD (1997) Differential sensory block after spinal bupivacaine in volunteers. Anesth Analg 84:115-119
18. Bueno L, Fioramonti J, Garcia-Villar R (2000) Pathobiology of visceral pain: Molecular mechanisms and therapeutic implications. III. Visceral afferent pathways: A source of new therapeutic targets for abdominal pain. Am J Physiol Gastrointest Liver Physiol 278:C670-C676
19. Leung CC, Chan YM, Ngai SW, Ng KF, Tsui SL (2000) Effect of pre-incision skin infiltration on post-hysterectomy pain - a double blind randomized controlled trial. Anaesth Intensive Care 28: 510-516
20. Mihic DN, Abram SE (1993) Optimal regional anaesthesia for abdominal hysterectomy: Combined subarachnoid and epidural block compared with other regional techniques. Eur J Anaesth 10:297-301