Hillenn Cruz Eng, Shayanti Meela Ghosh, Ki Jinn Chin
PURPOSE OF REVIEW: The choice of local anesthetics in regional anesthesia depends on desired onset, intensity, and duration of block, as well as possible adverse effects. This review highlights recent advances in day-case spinal anesthesia; considerations in selecting local anesthetic volume, concentration, and mass in peripheral nerve blockade; and the pharmacokinetics of ropivacaine. RECENT FINDINGS: Spinal anesthesia using 2-chloroprocaine offers fast onset and rapid recovery, whereas mepivacaine and lidocaine are suitable for longer procedures...
August 2014: Current Opinion in Anaesthesiology