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 …

Update on local anesthetics: focus on levobupivacaine

CL Burlacu, DJ Buggy - Therapeutics and clinical risk management, 2008 - Taylor & Francis
In recent years levobupivacaine, the pure S (−)-enantiomer of bupivacaine, emerged as a
safer alternative for regional anesthesia than its racemic parent. It demonstrated less affinity …

Differences in cardiotoxicity of bupivacaine and ropivacaine are the result of physicochemical and stereoselective properties.

BM Graf, I Abraham, N Eberbach, G Kunst… - …, 2002 - europepmc.org
Background Ropivacaine is believed to have a lower incidence of clinical cardiac side
effects than bupivacaine. The aim of this study was to compare the direct cardiac effects of …

Systemic toxicity and resuscitation in bupivacaine-, levobupivacaine-, or ropivacaine-infused rats

S Ohmura, M Kawada, T Ohta, K Yamamoto… - Anesthesia & …, 2001 - journals.lww.com
IMPLICATIONS: We compared the systemic toxicity induced by constant infusions of
bupivacaine, levobupivacaine, and ropivacaine in anesthetized rats. The systemic toxicity of …

Cardiac and CNS toxicity of levobupivacaine: strength of evidence for advantage over bupivacaine

RW Gristwood - Drug Safety, 2002 - Springer
Bupivacaine is currently the most widely used long-acting local anaesthetic. Its uses include
surgery and obstetrics; however, it has been associated with potentially fatal cardiotoxicity …

Cardiotoxicity with modern local anaesthetics: is there a safer choice?

LE Mather, DHT Chang - Drugs, 2001 - Springer
The recognition that long-acting local anaesthetics, particularly bupivacaine the de facto
standard long-acting local anaesthetic, were disproportionately more cardiotoxic than their …

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 …

Acute toxicity of local anesthetics: underlying pharmacokinetic and pharmacodynamic concepts

LE Mather, SE Copeland, LA Ladd - Regional Anesthesia & Pain …, 2005 - rapm.bmj.com
The risk of accidental intravascular injection and consequent acute toxicity is ever-present
with most neural blockade techniques. The severity of cardiovascular and central nervous …

[HTML][HTML] Chirality: a blueprint for the future

D Burke, DJ Henderson - British Journal of Anaesthesia, 2002 - Elsevier
Chirality is a fundamental characteristic of nature and pervades the living world. We have
been under its constant influence throughout evolution as a result of the asymmetrical nature …

Relative analgesic potencies of levobupivacaine and ropivacaine for epidural analgesia in labor.

LS Polley, MO Columb, NN Naughton, DS Wagner… - …, 2003 - europepmc.org
Background The minimum local analgesic concentration has been defined as the median
effective local analgesic concentration (EC50) in a 20-ml volume for epidural analgesia in …