which local anesthetaic is the most safe in spinal anesthesia

[vq3660]

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which one please

1-bupiivacain

2-mepivacin

3-etidocain

4-ropivacin

5-xylocain

thank in advance

 

[pgg]

You didn't put cocain in your poll.

 

[Mman]

which one please

1-bupiivacain

2-mepivacin

3-etidocain

4-ropivacin

5-xylocain

thank in advance

define "most safe". What aspect of safety are you looking for? Least likely to kill the patient? Least likely to have any adverse reaction? Least likely to cause permanent neurologic injury?

 

[Gern Blansten]

Is this a nursing school DNP on-line test? If so, the best answer is dibucaine, but since it is not a choice, etidocaine is the best answer. Good luck and I hope you get a 100%.

 

[vq3660]

define "most safe". What aspect of safety are you looking for? Least likely to kill the patient? Least likely to have any adverse reaction? Least likely to cause permanent neurologic injury?

less toxicity. side effects .and suitable for any patient-surgery especially cesarean section choose one please

 

[vq3660]

Is this a nursing school DNP on-line test? If so, the best answer is dibucaine, but since it is not a choice, etidocaine is the best answer. Good luck and I hope you get a 100%.

thanks .actually i study anesthesia not nursing and sorry can't understand what you are saying my english is bad
and is there any other name for dibucaine?

 

[vq3660]

You didn't put cocain in your poll.

cocain had many side effects it causes nausea, vomiting, stomach pain and difficulty passing urine or urinary incontinence & other bad effects

 

[Planktonmd]

The "most safe" local anesthetic is the one you use most frequently at the place where you practice.
Safety comes from experience.

 

[Gern Blansten]

thanks .actually i study anesthesia not nursing and sorry can't understand what you are saying my english is bad
and is there any other name for dibucaine?

In that case, I would probably choose bupivacaine. Lidocaine (xylocaine) is fine too but can be associated with transient radicular irritation and has fallen out of favor. The rest are not typically used for spinals (in the US anyway).
I was kidding about dibucaine.
The question is worded a bit strange and should probably be more specific.

 

[Idiopathic]

heres a question

which local anesthetic is FDA-approved for use in the intrathecal space?

 

[Gern Blansten]

heres a question

which local anesthetic is FDA-approved for use in the intrathecal space?

I think it might be none. I am not sure about that one. None is my final answer though.

 

[Noyac]

This has got to be a nursing question. Nurses use a come one come all approach to medicine. Doctors will tailor the anesthetic to the pt and the surgery being performed. Therefore, there is no "best" agent.

 

[Idiopathic]

I think it might be none. I am not sure about that one. None is my final answer though.

none is correct. morphine, tizanidine, baclofen are the only ones approved. doesnt mean anything, just funny when you consider almost every cesarean section done today is essentially done off-label