• J Neurosurg Anesthesiol · Jul 2005

    Plasma ropivacaine levels during awake intracranial surgery.

    • Paul B Audu, Chuck Wilkerson, Richard Bartkowski, Kevin Gingrich, Eugene Viscusi, and David Andrews.
    • Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. paul.audu@jefferson.edu
    • J Neurosurg Anesthesiol. 2005 Jul 1;17(3):153-5.

    AbstractPlasma ropivacaine levels produced by routine scalp infiltration for field block were assayed in eight patients undergoing awake intracranial surgery. Levels peaked within approximately 13 minutes, indicating rapid systemic absorption of ropivacaine. Potentially toxic plasma drug levels were achieved in three of eight patients, although no untoward effects attributable to elevated levels of ropivacaine were observed. Clinical vigilance is indicated during scalp infiltration with ropivacaine.

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