ROPIVACAINE
(Naropin)Standard Prescription
ropivicaine __ mg/kg/dose {site}
ropivicaine __ mg/kg/hr {site}
Dosages
Peripheral nerve/Caudal block (Preservative Free):
Peripheral Nerve Single dose:
0.25 - 3 mg/kg/dose. Max 200 mg/dose
Caudal Block Single dose:
0.5 - 2 mg/kg/dose. Max 100 mg/dose
Infusion:
0.1 - 0.4 mg/kg/hr
Max 0.2 mg/kg/hr if ≤ 6 months age
Continuous Epidural Infusion (Preservative Free):
<= 6 months age: 0.1 - 0.2 mg/kg/hr
> 6 months age: 0.1 - 0.4 mg/kg/hr
Peripheral Nerve Single dose:
0.25 - 3 mg/kg/dose. Max 200 mg/dose
Caudal Block Single dose:
0.5 - 2 mg/kg/dose. Max 100 mg/dose
Infusion:
0.1 - 0.4 mg/kg/hr
Max 0.2 mg/kg/hr if ≤ 6 months age
Continuous Epidural Infusion (Preservative Free):
<= 6 months age: 0.1 - 0.2 mg/kg/hr
> 6 months age: 0.1 - 0.4 mg/kg/hr
Mechanism of Action
Long-acting amide local anaesthetic agent.
Forms Supplied
Injection: 0.2% (2 mg/mL), 0.3% (3 mg/mL), 0.5% (5 mg/mL), 1% (10 mg/mL)
Comments
Solutions containing preservatives must not be used for epidural infusions or caudal/peripheral blocks.
Duration of action 3-10 hours.
Risk of resuscitation-resistant cardiotoxicity with toxic doses or inadvertent intravascular injection.
Treatment of cardiotoxicity includes standard resuscitation measures and lipid emulsion bolus and infusion doses (see intralipid monograph).
Refer to "Postoperative Disposition Guidelines for Infants" for epidural use in infants on PHSA SHOP.
Duration of action 3-10 hours.
Risk of resuscitation-resistant cardiotoxicity with toxic doses or inadvertent intravascular injection.
Treatment of cardiotoxicity includes standard resuscitation measures and lipid emulsion bolus and infusion doses (see intralipid monograph).
Refer to "Postoperative Disposition Guidelines for Infants" for epidural use in infants on PHSA SHOP.
References
32, 566-71
Last Edited
2022-09-10 04:53:10