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. 2011 Mar-Apr;55(2):104–110. doi: 10.4103/0019-5049.79875

Table 1.

Dosage recommendations for ropivacaine in adults and children

Indication in adults Concentration (%) Volume Dose
In adults
 Surgical anaesthesia
  Lumbar epidural 0.75 15-20 mL 113-150 mg
  (Caesarean section)
  Lumbar epidural 0.75 15-25 mL 113-188 mg
  (Other surgery) 1 15-20 mL 150-200 mg
  Thoracic (Single block for postoperative pain relief) 0.75 5-15 mL 38-113 mg
  Intrathecal administration 0.5 3-4 mL 15-20 mg
  Peripheral nerve block* 0.75 10-40 mL 75-300 mg
  Field block 0.75 1-30 mL 7.5-225 mg
 Postoperative pain
  Lumbar epidural (Continuous infusion) 0.2 6-10 mL/h 12-20 mg/h
  Thoracic epidural (Continuous infusion) 0.2 6-14 mL/h 12-28 mg/h
  Peripheral nerve block (Continuous infusion) 0.2 5-10 mL/h 10-20 mg/h
  Field block 0.2 1-100 mL 2-200 mg
  Intra-articular injection 0.75 20 mL 150 mg
 Labour pain (Lumbar epidural)
  Bolus 0.2 10-20 mL 20-40 mg
  Intermittent top-ups 0.2 10-15 mL 20-30 mg
  Continuous infusion 0.2 6-14 mL/h 12-28 mg/h
 In children
  Caudal epidural block (Below T12)§ 0.2 1 mL/kg 2 mg/kg
  Peripheral nerve block (Eg, ilioinguinal block) 0.5 0.6 mL/kg 3 mg/kg
*

Major nerve block brachial plexus or sciatic nerve block

Minor nerve block or infiltration

Minimum interval 30 minutes

§

For bodyweight up to 25 kg.