Ropivacaine spinal

[Gas]

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We are experiencing the 0.75% bupivacaine with dextrose shortage, and now pharmacy has said they are running low on 0.5% bupivacaine. Have heard of ropivacaine spinals, but never seen or done one.

What is the usual dose? Did a search, and looks like around 20 mg. Is anyone doing these, and if so, what dose are you using, and what are you getting in terms of duration? Thanks!

 

[deleted162650]

Surprised you guys are still experiencing shortages. We’ve recently started to get stock back including heavy bupi. Seems as though all the Puerto Rico factories are back online.

 

[vector2]

A month ago did 2.5cc of 0.5% rop for bilateral lower extremity vascular nonsense on a 65kg guy. No fent. Lasted 2.5-3 hrs. Did take longer to set up and I don't think the motor block was as good but it got the job done.

 

[Aether2000]

I have performed around 20 during the bupivacaine shortage. The longevity of the block is 2/3 that of bupivacaine but can be extended with epinephrine or 5mcg precedex added to the block. It does take a bit longer to set up compared to spinal bupivacaine, but about the same amount of time as isobaric bupivacaine. Usually used 15-25mg ropivacaine based on height. No block failures.

 

[eagle0990]

We used isobaric 1% Ropivacaine for a period of time due to no access to Bupi. Doses between 15-20 mg. As above, a little bit longer to set up and motor block not as dense.