end of the day, need a quick surgery (outpatient) but general anesthesia is not an option. Full stomach, whatever, I have found that 1cc .5% ropivicaine with 20 MCG fentanyl with a light touch of sedation will provide surgical level anesthesia with complete recovery in 30 min. by the end of the procedure the patient has no motor block and has almost no sensory block in an additional 20 min.