New local anesthetics Anesthesiology Clinics of North America

Slides:



Advertisements
Similar presentations
Patient-Controlled Epidural Analgesia for Labor
Advertisements

The Child with Hearing Loss Bradley W. Kesser, MD Otolaryngologic Clinics of North America Volume 48, Issue 6, Pages xv-xvi (December 2015) DOI: /j.otc
2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.
All-Suture Transosseous Repair for Rotator Cuff Tear Fixation Using Medial Calcar Fixation Mikel Aramberri-Gutiérrez, M.D., Ph.D., Amaia Martínez-Menduiña,
Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,
Other options in the treatment of fecal incontinence Paul A. Lehur, MD, PhD, Emilie Duchalais, MD Seminars in Colon and Rectal Surgery Volume 27, Issue.
Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:
Advances in Diagnosing Peanut Allergy
Ludwik Fleck ( ) and his contribution to dermatology
Testosterone and Prostate Cancer: Revisiting Old Paradigms
Anesthetic Considerations for Electrophysiologic Procedures
The Promise of Lean in Health Care
Preface Anesthesiology Clinics of North America
J. Gonçalves-Pereira, A. Martins, P. Póvoa 
International controlled clinical trial of thoracic endovascular aneurysm repair with the Zenith TX2 endovascular graft: 1-year results  Jon S. Matsumura,
Pre-eclampsia: fluids, drugs, and anesthetic management
Ulf Darsow, MD, Dieter Vieluf, MD, Johannes Ring, MD, PhD 
The Challenge of Managing Drugs Safely in the Newborn
John R. Meuleman, MD, William F. Brechue, PhD, Paul S
NPO during labor Anesthesiology Clinics of North America
72-Year-Old Man With Anemia and Abdominal Pain
Misconceptions about neuraxial analgesia
Information Technology Comes to Anesthesiology
Managing Your Anesthesiology Practice for the Future
Timothy E. Miller, MB ChB, FRCA  Anesthesiology Clinics 
J. Gonçalves-Pereira, A. Martins, P. Póvoa 
Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J
Preface Anesthesiology Clinics of North America
Comprehensive Management of Parotid Disorders
Airway Management Anesthesiology Clinics
Advances in Diagnosing Peanut Allergy
Kenneth A Follett, MD, PhD, Claus P Naumann, MD 
Assessing the Effectiveness of Postacute Care Rehabilitation
Intrathecal ropivacaine for total hip arthroplasty: double-blind comparative study with isobaric 7.5 mg ml−1 and 10 mg ml−1 solutions  D.A. McNamee, L.
The Mayo Legacy in Medical Education*
Meghan B. Lane-Fall, MD, MSHP  Anesthesiology Clinics 
Sleep in Older Adults: Challenges and Opportunities
Spinal anaesthesia: comparison of plain ropivacaine 5 mg ml−1 with bupivacaine 5 mg ml−1 for major orthopaedic surgery  D.A. McNamee, A.M. McClelland,
Antidepressants and Brain Neurochemistry
W. Ruppen, L. A. Steiner, J. Drewe, L. Hauenstein, S. Brugger, M. D
Drug Infusors in Palliative Medicine
Palliative Care, Spiritual Care, and Clinical Ethics
A. M. El-Hennawy, A. M. Abd-Elwahab, A. M. Abd-Elmaksoud, H. S
Gertrud Andersen, MD, Lona Christrup, PhD, Per Sjøgren, MD 
Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management  Scott H. Sicherer, MD, Hugh A. Sampson, MD  Journal.
Biosimilars and drug development in allergic and immunologic diseases
Institutional Review Boards: What Clinician Researchers Need to Know
Preface Anesthesiology Clinics
PREFACE Otolaryngologic Clinics of North America
PREFACE Otolaryngologic Clinics of North America
Preface Clinics in Laboratory Medicine
Preface Anesthesiology Clinics
Preface Anesthesiology Clinics
Lidocaine and ropivacaine, but not bupivacaine, demethylate deoxyribonucleic acid in breast cancer cells in vitro  P. Lirk, M.W. Hollmann, M. Fleischer,
Hongxia Li, M. D. , Steven T Nakajima, M. D. , Jiangang Chen, M. D
Preface Otolaryngologic Clinics of North America
Postmarketing Pharmaceutical Product Pitfalls in Trauma Care
Relative potency of Drugs
Contaminants in Commercial Preparations of Melatonin
Meniere's Disease: 150 Years and Still Elusive
Ordering and Interpreting DNA Tests
A 2-item screen for depression in rehabilitation inpatients
Practice Notes from the AAAI
Comparison of ropivacaine 0. 5% (in glucose 5%) with bupivacaine 0
Hemostasis in Otolaryngology—Head and Neck Surgery
Volume 4, Issue 3, Pages (March 2018)
Circulatory levels of T-cell cytokines (interleukin [IL]-2, IL-4, IL-17, and transforming growth factor-β) in patients with vitiligo  Rehan Khan, MSc,
Derek H. Ochiai, M.D., Farshad Adib, M.D.  Arthroscopy Techniques 
Natural history of cow’s milk allergy
News Beyond Our Pages Journal of Allergy and Clinical Immunology
Presentation transcript:

New local anesthetics Anesthesiology Clinics of North America Moeen Panni, MD, PhD, Scott Segal, MD  Anesthesiology Clinics of North America  Volume 21, Issue 1, Pages 19-38 (March 2003) DOI: 10.1016/S0889-8537(02)00032-9

Fig. 1 Chemical structures of ropivacaine and the two isomers of bupivacaine. Anesthesiology Clinics of North America 2003 21, 19-38DOI: (10.1016/S0889-8537(02)00032-9)

Fig. 2 Hypothetical concentration-response curves for bupivacaine and ropivacaine. (A) Parallel concentration-response curves. The difference in MLAC (EC50) is reflected throughout the concentration range, and ropivacaine is less potent. Administration of concentrations significantly higher than the MLAC, however, will produce indistinguishable results because both drugs will be being administered near the top of their respective concentration-response curves. (B) Concentration-response curves with different slopes. The difference in MLAC would not necessarily reflect a true difference in potency between the drugs. Anesthesiology Clinics of North America 2003 21, 19-38DOI: (10.1016/S0889-8537(02)00032-9)