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2026, Number 3

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Acta Med 2026; 24 (3)

Experience of the use of ropivacaine in the subarachnoid space as anesthetic management

Colín SVG, Alva ANV, Morineau CC, Athié GJM
Full text How to cite this article 10.35366/123135

DOI

DOI: 10.35366/123135
URL: https://dx.doi.org/10.35366/123135

Language: Spanish
References: 11
Page: 194-197
PDF size: 527.66 Kb.


Key words:

regional, ropivacaine, spinal, motor and sensory block.

ABSTRACT

Spinal anesthesia is one of the most used anesthetic techniques in clinical practice, it consists of administering local anesthetic in the subarachnoid space. The use of ropivacaine has an onset of action of 10 to 15 minutes, with a longer duration of the anesthetic and analgesic effect, with a decrease in motor blockade. Due to the limited evidence described, we decide to investigate the experience of subarachnoid anesthesia in surgery, and evaluate the duration of motor and sensory blockade. The design of this study was retrospective, observational, descriptive, cross-sectional, reviewing records at a single center (Hospital Angeles Mocel) between March-December 2024. A sample of 49 patients was taken, describing the duration of motor and sensory block, hemodynamic changes in transanesthetic. It was found that the average motor time was 377 minutes and sensory time was 298.4 minutes, we found that ropivacaine produced a shorter duration of motor block but a longer duration of sensory block. The use of ropivacaine in the intrathecal space is considered a safe and effective technique, with a better prognosis for the patient.


REFERENCES

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  2. Hinojosa-Sánchez O, Alamilla-Beltrán I, Han-Alonso R, Solano-Moreno H, Alvarez-Villaseñor AS, Ramírez-Contreras JP et al. Bloqueo raquídeo subaracnoideo con ropivacaína versus bupivacaína isobárica en cirugía urológica y ortopédica. Rev Med Inst Mex Seguro Soc. 2009; 47 (5): 539-544.

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  10. Guillermo-Santiago R, Posi G, Ogas M, Dicuatro N, González-Vélez M. Uso comparativo de bupivacaína vs ropivacaína peridural asociados a fentanilo en cesárea. Rev Arg Anestesiol. 2002; 60 (4): 209-226.

  11. Lacassie QH, de La Cuadra FJC, Kychenthal LC, Irarrázaval MMJ, Altermatt CFR. Anestesia espinal. Parte II: Importancia de la anatomía, indicaciones y drogas más usadas. Rev Chil Anest. 2021; 50 (2): 398-407.




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Acta Med. 2026;24