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Tachycardia and convulsions induced by accidental intravascular ropivacaine injection during sciatic block

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Ropivacaine, a recently introduced local anesthetic of the amide family ( 1), seems to show less toxicity than bupivacaine (2–4). Nevertheless, both neurologic and cardiovascular toxicities are possible. Six cases of ropivacaine-induced convulsions have previously been reported (5–10), of which three cases also showed cardiovascular toxicity. In three cases, total plasma concentrations were measured ( Table 1).

Keywords: adverse effects; convulsions; ropivacaine; sciatic block; tachycardia

Document Type: Research Article


Affiliations: Department of Anesthesia and Intensive Care, Begin Military Hospital, Saint Mande, France

Publication date: May 1, 2002

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