Ropivacaine 0.75% for extradural anaesthesia in elective Caesarean section: An open clinical and pharmacokinetic study in mother and neonate

被引:37
作者
Morton, CPJ
Bloomfield, S
Magnusson, A
Jozwiak, H
McClure, JH
机构
[1] ROYAL INFIRM EDINBURGH NHS TRUST,DEPT NEONATAL PAEDIAT,EDINBURGH EH3 9YW,MIDLOTHIAN,SCOTLAND
[2] ASTRA PAIN CONTROL AB,SODERTALJE,SWEDEN
关键词
anaesthesia; obstetric; anaesthetic techniques; extradural; anaesthetics local; ropivacaine; pharmacokinetics;
D O I
10.1093/bja/79.1.3
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In an open study we have investigated the efficacy of 20 ml of 0.75% ropivacaine (7.5 mg ml(-1)) to provide extradural anaesthesia for elective Caesarean section. Plasma concentrations (total and free) were estimated in the mother and neonate. Anaesthesia was effective and safe. Plasma concentrations of ropivacaine in the mother and neonate were within safe limits and consistent with previous studies. Two mothers received accidental i.v. injections of ropivacaine 75 mg and 150 mg, respectively, without serious adverse effects.
引用
收藏
页码:3 / 8
页数:6
相关论文
共 22 条
[1]   PRIMARY EVALUATION OF THE LOCAL-ANESTHETIC PROPERTIES OF THE AMINO AMIDE AGENT ROPIVACAINE (LEA-103) [J].
AKERMAN, B ;
HELLBERG, IB ;
TROSSVIK, C .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1988, 32 (07) :571-578
[2]   VISCERAL PAIN DURING CESAREAN-SECTION UNDER SPINAL AND EPIDURAL-ANESTHESIA WITH BUPIVACAINE [J].
ALAHUHTA, S ;
KANGASSAARELA, T ;
HOLLMEN, AI ;
EDSTROM, HH .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1990, 34 (02) :95-98
[3]   A NEW NEUROLOGIC AND ADAPTIVE CAPACITY SCORING SYSTEM FOR EVALUATING OBSTETRIC MEDICATIONS IN FULL-TERM NEWBORNS [J].
AMIELTISON, C ;
BARRIER, G ;
SHNIDER, SM ;
LEVINSON, G ;
HUGHES, SC ;
STEFANI, SJ .
ANESTHESIOLOGY, 1982, 56 (05) :340-350
[4]   DETERMINATION OF FREE CONCENTRATION OF ROPIVACAINE AND BUPIVACAINE IN BLOOD-PLASMA BY ULTRAFILTRATION AND COUPLED-COLUMN LIQUID-CHROMATOGRAPHY [J].
ARVIDSSON, T ;
EKLUND, E .
JOURNAL OF CHROMATOGRAPHY B-BIOMEDICAL APPLICATIONS, 1995, 668 (01) :91-98
[5]   CAPILLARY GAS-CHROMATOGRAPHIC METHOD FOR THE SIMULTANEOUS DETERMINATION OF LOCAL-ANESTHETICS IN PLASMA SAMPLES [J].
BJORK, M ;
PETTERSSON, KJ ;
OSTERLOF, G .
JOURNAL OF CHROMATOGRAPHY-BIOMEDICAL APPLICATIONS, 1990, 533 :229-234
[6]   COMPARISON OF EXTRADURAL ROPIVACAINE AND BUPIVACAINE [J].
BROCKWAY, MS ;
BANNISTER, J ;
MCCLURE, JH ;
MCKEOWN, D ;
WILDSMITH, JAW .
BRITISH JOURNAL OF ANAESTHESIA, 1991, 66 (01) :31-37
[7]   EXTRADURAL, SPINAL OR COMBINED BLOCK FOR OBSTETRIC SURGICAL ANESTHESIA [J].
CARRIE, LES .
BRITISH JOURNAL OF ANAESTHESIA, 1990, 65 (02) :225-233
[8]   SOME ASPECTS OF EPIDURAL BLOCK PROVIDED FOR ELECTIVE CESAREAN-SECTION [J].
CRAWFORD, JS ;
DAVIES, P ;
LEWIS, M .
ANAESTHESIA, 1986, 41 (10) :1039-1046
[9]   CLINICAL EFFECTS AND MATERNAL AND FETAL PLASMA-CONCENTRATION OF EPIDURAL ROPIVACAINE VERSUS BUPIVACAINE FOR CESAREAN-SECTION [J].
DATTA, S ;
CAMANN, W ;
BADER, A ;
VANDERBURGH, L .
ANESTHESIOLOGY, 1995, 82 (06) :1346-1352
[10]  
EVANS CM, 1989, ANAESTHESIA, V44, P777