Butiulca M, Farczadi L, Imre S, Vari CE, Vlase L, Cordos B, Azamfirei L, Lazar AE. "LC-MS/MS assisted pharmacokinetic and tissue distribution study of ropivacaine and 3-OH-ropivacaine on rats after plane block anesthesia." Frontiers in Pharmacology. 2025;15:1494646. https://doi.org/10.3389/fphar.2024.1494646
Background
Understanding the pharmacokinetics and tissue distribution of local anaesthetics is essential for optimising regional anaesthesia protocols. Butiulca et al. (2025) investigated the PK profile and tissue distribution of ropivacaine and its major metabolite 3-OH-ropivacaine in rats following ultrasound-guided plane block anaesthesia, using a validated LC-MS/MS method.
Methods
A sensitive LC-MS/MS method was developed and validated for the simultaneous quantification of ropivacaine and 3-OH-ropivacaine in rat plasma and multiple tissues — liver, kidney, muscle, brain, heart, and lung. Sample preparation used protein precipitation with acetonitrile. Chromatographic separation was achieved on a C18 column with a gradient of ammonium formate buffer and acetonitrile. Detection was performed using positive electrospray ionisation in MRM mode. The method was validated for selectivity, linearity, accuracy, precision, matrix effect, recovery, and stability.
Results
The method showed excellent linearity (R² > 0.99) over the range 1–500 ng/mL for both analytes in plasma and tissue homogenates. Accuracy ranged from 92.3% to 107.8%, and precision (CV) was below 11.2% at all QC levels. The method was successfully applied to characterise the PK profile of ropivacaine after plane block administration. Peak plasma concentrations were observed at 15–30 minutes post-administration, with a terminal half-life of approximately 2.5 hours. Tissue distribution analysis revealed highest drug concentrations in liver and kidney, with measurable levels in brain tissue indicating blood-brain barrier penetration.
Conclusions
The validated LC-MS/MS method provided robust, reproducible quantification of ropivacaine and its metabolite across plasma and multiple tissues. The PK and tissue distribution data support the clinical optimisation of plane block anaesthesia protocols. This study demonstrates how rigorous LC-MS/MS bioanalysis delivers the high-quality PK data needed to inform both preclinical and clinical decision-making.