Plasma Ropivacaine Concentrations After Ultrasound-Guided Rectus Sheath Block in Patients Undergoing Lower Abdominal Surgery

被引:30
作者
Wada, Morito [1 ]
Kitayama, Masato [1 ]
Hashimoto, Hiroshi [1 ]
Kudo, Tsuyoshi [1 ]
Kudo, Mihoko [1 ]
Takada, Norikazu [1 ]
Hirota, Kazuyoshi [1 ]
机构
[1] Hirosaki Univ, Grad Sch Med, Dept Anesthesiol, Hirosaki, Aomori 0368562, Japan
关键词
PEDIATRIC ANESTHESIA; OLD TECHNIQUE; PLANE BLOCK; NERVE BLOCK; PHARMACOKINETICS; BUPIVACAINE; 0.5-PERCENT; CHILDREN;
D O I
10.1213/ANE.0b013e3182367a68
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A rectus sheath block can provide postoperative analgesia for midline incisions. However, information regarding the pharmacokinetics of local anesthetics used in this block is lacking. In this study, we detail the time course of ropivacaine concentrations after this block. Thirty-nine patients undergoing elective lower abdominal surgery were assigned to 3 groups receiving rectus sheath block with 20 mL of different concentrations of ropivacaine. Peak plasma concentrations were dose dependent, and there were no significant differences in the times to peak plasma concentrations. The present data also suggested a slower absorption kinetics profile for ropivacaine after rectus sheath block than other compartment blocks. (Anesth Analg 2012;114:230-2)
引用
收藏
页码:230 / 232
页数:3
相关论文
共 18 条
[1]   Pharmacokinetics of 0.75% ropivacaine and 0.5% bupivacaine after ilioinguinal-iliohypogastric nerve block in children [J].
Ala-Kokko, TI ;
Karinen, J ;
Räihä, E ;
Kiviluoma, K ;
Alahuhta, S .
BRITISH JOURNAL OF ANAESTHESIA, 2002, 89 (03) :438-441
[2]   An assessment of the value of rectus sheath block for postlaparoscopic pain in gynecologic surgery [J].
Azemati, S ;
Khosravi, MB .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2005, 12 (01) :12-15
[3]   Plasma concentration of ropivacaine after intercostal blocks for video-assisted thoracic surgery [J].
Behnke, H ;
Worthmann, F ;
Cornelissen, J ;
Kahl, M ;
Wulf, H .
BRITISH JOURNAL OF ANAESTHESIA, 2002, 89 (02) :251-253
[4]   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
[5]   Pharmacokinetics and analgesic effect of ropivacaine following ilioinguinal/iliohypogastric nerve block in children. [J].
Dalens, B ;
Ecoffey, C ;
Joly, A ;
Giaufré, E ;
Gustafsson, U ;
Huledal, G ;
Larsson, LE .
PAEDIATRIC ANAESTHESIA, 2001, 11 (04) :415-420
[6]   The rectus sheath block in paediatric anaesthesia: New indications for an old technique? [J].
Ferguson, S ;
Thomas, V ;
Lewis, I .
PAEDIATRIC ANAESTHESIA, 1996, 6 (06) :463-466
[7]   Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block [J].
Griffiths, J. D. ;
Barron, F. A. ;
Grant, S. ;
Bjorksten, A. R. ;
Hebbard, P. ;
Royse, C. F. .
BRITISH JOURNAL OF ANAESTHESIA, 2010, 105 (06) :853-856
[8]   Arterial and venous pharmacokinetics of ropivacaine with and without epinephrine after thoracic paravertebral block [J].
Karmakar, MK ;
Ho, AMH ;
Law, BK ;
Wong, ASY ;
Shafer, SL ;
Gin, T .
ANESTHESIOLOGY, 2005, 103 (04) :704-711
[9]   Serum concentration of lidocaine after transversus abdominis plane block [J].
Kato, Naoko ;
Fujiwara, Yoshihiro ;
Harato, Misako ;
Kurokawa, Shuji ;
Shibata, Yasuyuki ;
Harada, Jun ;
Komatsu, Toru .
JOURNAL OF ANESTHESIA, 2009, 23 (02) :298-300
[10]   Successful resuscitation after ropivacaine-induced ventricular fibrillation [J].
Klein, SM ;
Pierce, T ;
Rubin, Y ;
Nielsen, KC ;
Steele, SM .
ANESTHESIA AND ANALGESIA, 2003, 97 (03) :901-903