A Prospective Comparative Study of 0.5% Levobupivacaine versus 0.5% Ropivacaine in Supraclavicular Brachial Plexus Block
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 8
Abstract
Background: Levobupivacaine is a s enantiomer of bupivacaine has been introduced in clinical practise in India, with lower cardio toxicity and neurotoxicity in comparison to bupivacaine [7,8]. We have designed present study as a prospective comparative study with an aim evaluate the onset and duration of sensory and motor block when0.5% Levobupivacaine and 0.5% ropivacaine are used for supraclavicular brachial plexus anaesthesia. Material and Method: Present study is a randomised prospective comparative study conducted in the dept. of anaesthesia Konaseema institute of medical science Amalapuram from Sept 2015 to Feb 2018. Patients were allocated randomly into two groups using computer generated block randomization. Group A (n=40) received 30ml of 0.5% Levobupivacaine and Group B(n=40) received 30ml of 0.5% Ropivacaine. Parameters observed were onset-of sensory and motor block, duration of analgesia andrequirement of opioid supplementation. Result: Mean sensory onset time in group A (Levobupivacaine) was 14.065 min in comparison to 16.829+5.01 mins in group B, with P value 0.172372. Mean time required for the onset of motor blocks in group A was 18.0225+6.33 min but in group B it was 21.35+5.49 with P value 0.007096. Out of forty patients four patients in group A require opioid supplementation and eight patients out of 40 patients in group B required opioid supplementation with p value 0.210406. Discussion and Conclusion: From present study we would like to conclude that the onset of sensory and motor block was earlier in Levobupivacaine group than ropivacaine. The duration of sensory and motor block was also longer in Levobupivacaine group then ropivacaine.
Authors and Affiliations
V. S. S. N. Murthy
Keywords
Related Articles
- EP ID EP537650
- DOI 10.21088/ijaa.2349.8471.5818.23
- Views 72
- Downloads 0
Feasibility of Hematoma Block for Closed Reduction of Fractures of Distal End of Radius: A Comparison with General Anesthesia
Fractures of distal radius are common and there are different modes of anesthesia to obtain pain relief prior to closed reduction. The aim of this study was to prospectively compare hematoma block alone and general anest...
A Comparative Study between Intrathecal Bupivacaine with Clonidine vs Bupivacaine with Neostigmine for Vaginal Hysterectomies: A Randomized Double Blinded Study
Introduction: Vaginal hysterectomy is the most common surgery done under spinal anaesthesia. The combination of local anaesthetics with adjuvants is getting more popular for better post-operative analgesia. Aim: The pur...
Evaluation of Pre Incision Infiltration of A Local Anesthetics Regimen Prior to Modified Radical Mastectomy: A Randomized Single Blinded Study
Introduction: Breast surgery can be emotionally distressing and physically painful. Although regional anesthesia and nerve block techniques are widely used in many situations, many anesthetists are still minded by the si...
Comparison of Laryngeal Mask Airway Inserted in Prone Position versus Routine Endotracheal Intubation for Prone Surgeries
Background: Providing anaesthesia in prone position is a challenging task for an anaesthesiologist. Although the favourable technique of airway management has been endotracheal tube (ETT), alternative airway management w...
Incidence and Risk Factors for Infections in Post-Operative Cases of Cardiac Surgery
Cardiac surgery creates a high risk for the development of post operative infections. Aims: The objective of this study was to evaluate the incidence, characteristics and risk factors for nosocomial infections after card...