Toxicity of local anaesthetics

B Cox, ME Durieux, MAE Marcus - Best practice & research Clinical …, 2003 - Elsevier
The complications of failure, neural injury and local anaesthetic toxicity are common to all
regional anaesthetic techniques, and individual techniques are associated with specific …

Central nervous system and cardiac effects from long-acting amide local anesthetic toxicity in the intact animal model

L Groban - Regional Anesthesia & Pain Medicine, 2003 - rapm.bmj.com
With the development of the newer long-acting amide local anesthetics, ropivacaine and
levobupivacaine, numerous animal studies of LA systemic toxicity have emerged. Because …

In vitro exposure to 0.5% bupivacaine is cytotoxic to bovine articular chondrocytes

CR Chu, NJ Izzo, NE Papas, FH Fu - … The Journal of Arthroscopic & Related …, 2006 - Elsevier
Purpose: Intra-articular use of 0.5% bupivacaine is common in arthroscopic surgery. This
study was conducted to test the hypotheses that (1) 0.5% bupivacaine is toxic to articular …

Neuropathic pain: early spontaneous afferent activity is the trigger

W **e, JA Strong, JTA Meij, JM Zhang, L Yu - Pain, 2005 - Elsevier
Intractable neuropathic pain often results from nerve injury. One immediate event in
damaged nerve is a sustained increase in spontaneous afferent activity, which has a well …

The effects of lipid infusion on myocardial function and bioenergetics in l-bupivacaine toxicity in the isolated rat heart

SN Stehr, JC Ziegeler, A Pexa, R Oertel… - Anesthesia & …, 2007 - journals.lww.com
BACKGROUND: It is unclear whether improved metabolism or a “lipid sink” effect of lipid
infusion is responsible for the positive effects in local anesthetic-induced myocardial …

Development and pharmacological evaluation of ropivacaine-2-hydroxypropyl-β-cyclodextrin inclusion complex

DR de Araujo, SS Tsuneda, CMS Cereda… - european journal of …, 2008 - Elsevier
Ropivacaine (RVC) is an enantiomerically pure local anesthetic (LA) largely used in surgical
procedures, which presents physico-chemical and therapeutic properties similar to those of …

Advances in perioperative pain management for total knee arthroplasty: a review of multimodal analgesic approaches

C Zhao, Q Liao, D Yang, M Yang, P Xu - Journal of Orthopaedic Surgery …, 2024 - Springer
Despite significant advancements in total knee arthroplasty (TKA), managing postoperative
pain remains a substantial clinical challenge. With advances in surgical techniques and …

Pharmacokinetics and efficacy of ropivacaine for continuous epidural infusion in neonates and infants

AT Bösenberg, J Thomas, L Cronje, T Lopez… - Pediatric …, 2005 - Wiley Online Library
Introduction: The primary objective of this noncomparative study was to evaluate the
pharmacokinetics of ropivacaine during a 48–72‐h continuous epidural infusion of …

The efficacy of continuous fascia iliaca compartment block for pain management in burn patients undergoing skin grafting procedures

O Cuignet, J Pirson, J Boughrouph… - Anesthesia & …, 2004 - journals.lww.com
Methods Twenty adult burn patients (male and female) aged between 18 and 80 yr were
enrolled into the study. The patients had a total burn surface area (TBSA) of …

Prevention of local anesthetic systemic toxicity

MF Mulroy, MR Hejtmanek - Regional Anesthesia & Pain Medicine, 2010 - rapm.bmj.com
Although new drugs and techniques may improve outcomes when unintended high blood
levels of local anesthetics occur, the primary focus of daily practice should remain the …