Published in:
01-08-2016 | Editorial
Pharmacokinetics and systemic toxicity of local anesthetics in children
Author:
Yutaka Oda
Published in:
Journal of Anesthesia
|
Issue 4/2016
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Excerpt
With the development of ultrasound-guided regional anesthetic techniques, peripheral nerve block has become popular and is being performed safely in an increased number of children. From the point of neuronal toxicity and duration of action, long-acting local anesthetics such as bupivacaine, levobupivacaine and ropivacaine are more frequently used than lidocaine for both neuraxial and peripheral nerve block in children. As these anesthetics have higher toxic potency than lidocaine, extensive knowledge of their toxicity and pharmacokinetics in children would contribute to avoiding adverse effects and improving the quality of anesthesia practice. …