Efficacy of Ropivacaine for Sub-Arachnoid Block in Patients with Recent History of Scorpion Sting

Authors

Fatemeh Farshad, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Elahe Sadeghi Sahebzad, Department of Anatomy and Midwifery & Reproductive Health, Iran University of Medical Sciences, Tehran, Iran
Masoomeh Kheirkhah, Department of Midwifery & Reproductive Health, Iran University of Medical Sciences, Tehran, Iran
Mahnaz Shafi Khani, Department of Midwifery & Reproductive Health, Iran University of Medical Sciences, Tehran, Iran
Elham Azmoude, Healthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran

Abstract

Failure of sub-arachnoid block (SAB), due to resistance to bupivacaine after a recent scorpion sting can lead to multiple block attempts and subsequent conversion to general anaesthesia. We report this case series of 10 patients with successful SAB with newly launched 0.75% hyperbaric ropivacaine, in patients with recent scorpion sting. Thus, intrathecal hyperbaric ropivacaine may be considered as the local anaesthetic agent of choice in patients with scorpion sting to prevent failure of SAB.

Keywords: Bupivacaine; Ropivacaine; Scorpion Stings; Spinal Anaesthesia.

Publication Date

5-27-2024

First Page

272

Last Page

275

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Farshad, Fatemeh; Sahebzad, Elahe Sadeghi; Kheirkhah, Masoomeh; Khani, Mahnaz Shafi; and Azmoude, Elham (2024) "Efficacy of Ropivacaine for Sub-Arachnoid Block in Patients with Recent History of Scorpion Sting," Sultan Qaboos University Medical Journal: Vol. 24: 272-275.
DOI: https://doi.org/10.18295/squmj.3.2024.022