Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Sono-anatomy of the supraclavicular region for ultrasound-guided subclavian vein catheterization: revaluation of a former method.

BMC anesthesiology·2026
Same author

Transcutaneous Bilirubin Levels and Risk of Significant Hyperbilirubinemia in Early-Term and Term Newborns.

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN·2021
Same author

Investigation of the relationship between cord clamping time and risk of hyperbilirubinemia.

The Turkish journal of pediatrics·2020
Same author

Effect of Nutritional Support Containing Arginine, Glutamine and β-hydroxy-β-methylbutyrate on the Protein Balance in Patients with Major Burns.

Turkish journal of anaesthesiology and reanimation·2019
Same author

Kala-Azar and leukemia: A rare association.

Turk pediatri arsivi·2018
Same author

Adrenal angiosarcoma.

Turkish journal of surgery·2018

Related Experiment Video

Updated: Jun 19, 2026

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
03:59

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy

Published on: January 10, 2019

Selective spinal anesthesia for inguinal herniorrhaphy.

Yasar Pala1, Murat Ozcan, Gulten Dikmeer

  • 1Department of Anesthesiology and Reanimation, Ankara Numune Training & Research Hospital, Ankara, Turkey.

Saudi Medical Journal
|November 3, 2009
PubMed
Summary

Ropivacaine plus fentanyl offers comparable sensory anesthesia to bupivacaine for inguinal herniorrhaphy, but with a shorter motor block duration. Careful hemodynamic monitoring is advised during selective spinal anesthesia.

More Related Videos

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
05:42

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation

Published on: April 7, 2023

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
07:44

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis

Published on: October 17, 2025

Related Experiment Videos

Last Updated: Jun 19, 2026

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
03:59

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy

Published on: January 10, 2019

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
05:42

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation

Published on: April 7, 2023

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
07:44

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis

Published on: October 17, 2025

Area of Science:

  • Anesthesiology
  • Surgical Anesthesia
  • Pharmacology

Background:

  • Selective spinal anesthesia is utilized for inguinal herniorrhaphy.
  • Hypobaric anesthetic solutions are employed for spinal anesthesia.

Purpose of the Study:

  • To compare the characteristic profiles of ropivacaine and bupivacaine solutions for selective spinal anesthesia.
  • To evaluate anesthetic efficacy and safety in patients undergoing inguinal herniorrhaphy.

Main Methods:

  • Prospective, randomized, double-blind trial involving 61 patients.
  • Comparison of ropivacaine 7.5 mg plus fentanyl vs. bupivacaine 5 mg plus fentanyl, diluted with sterile water.
  • Assessment of sensory and motor block characteristics, hemodynamics, side effects, and recovery.

Main Results:

  • Ropivacaine group showed a significantly shorter motor block duration (56.1 min) compared to bupivacaine (72.5 min).
  • No significant difference in complete motor block duration or sensory anesthesia between the groups.
  • Hemodynamic values decreased after anesthesia induction compared to baseline values.

Conclusions:

  • Ropivacaine plus fentanyl provides effective sensory anesthesia with a shorter motor block duration than bupivacaine plus fentanyl for selective spinal anesthesia in herniorrhaphy.
  • Close hemodynamic monitoring is recommended during selective spinal anesthesia procedures.