A comparative study of ropivacaine 0.5% and bupivacaine 0.5% in combination with fentanyl in supraclavicular brachial plexus block
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 1
Abstract
Background: Regional anaesthesia now occupies an important position in anaesthesia now days and has undergone advancements both in techniques and drug availability. Regional anaesthesia techniques are an important assortment for anaesthesiologist because of their safety, low cost, advantage of early ambulation and prolonged postoperative pain relief. Objectives: To compare the time of onset and duration of sensory and motor blockade, duration of analgesia, hemodynamic parameters and complications of 0.5% Ropivacaine and 0.5% Bupivacaine used in combination with Fentanyl in brachial plexus block through supraclavicular route in upper limb surgeries. Material and Methods: A prospective randomized double-blind study was conducted in 60 patients of 18-65 years of either sex, ASA-grade I/II who underwent unilateral upper limb surgery; both elective and emergency, were randomly divided in to two groups of 30 each - Group BF in whom Bupivacaine 0.5% 29 cc with Fentanyl 50 µg 1 cc was used as local anaesthetic and Group RF who were given Ropivacaine 0.5% 29 cc with Fentanyl 50 µg 1 cc. Brachial plexus blockade was applied through supraclavicular approach Both the groups were compared for the time of onset and duration of sensory and motor blockade, duration of analgesia, hemodynamic parameters and complications due to the above mentioned drugs. Results: Onset time for Sensory and Motor blockade was shorter with ropivacaine. Duration of sensory block was significantly longer with ropivacaine but duration of motor block was statistically highly significantly longer with bupivacaine. Duration of post-operative analgesia was significantly longer with RF group and there was a significant difference in both groups in post-operative visual analogue scale (VAS) score. No statistically significant changes were observed in heart rate, respiratory rate, mean arterial pressure or oxygen saturation throughout the study. Conclusion: Ropivacaine along with fentanyl, have better profile in terms of rapid onset of sensory and motor block, prolonged duration of sensory block and post-operative analgesia.
Authors and Affiliations
J P Prajapati, T M Modi
Keywords
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- EP ID EP520871
- DOI 10.26611/10159110
- Views 145
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