Ropivacaine for peripheral nerve blocks: Are there advantages?

Abstract Many peripheral nerve block techniques require relatively large doses and volumes of a local anesthetic for their success. The traditional amide-type, long-acting local anesthetics have been associated with a risk of serious or lethal cardiotoxicity. A more recently introduced long-acting local anesthetic, ropivacaine, has a significantly greater safety margin over bupivacaine. The neuronal blocking characteristics of ropivacaine, when used in peripheral nerve blockade, seem to be equal or superior to bupivacaine. This report summarizes recently published data on the use of ropivacaine in peripheral nerve blockade. Copyright © 2001 by W.B. Saunders Company

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