Comparision of 0.5% Ropivacaine and 0.5% Bupivacaine for Supraclavicular Brachial Plexus Block in Upper Limb Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Supraclavicular approach to brachial plexus block produces the most complete upper limb block as it blocks the brachial plexus at the level of the trunks formed by C5-T1 nerve roots.Ropivacaine is a pure S enantiomer with greater differentiation between sensory and motor block with better margin of safety due to reduced toxic potential. The aim of this study was to compare sensory and motor block effectiveness of 0.5% ropivacaine to that of 0.5% bupivacaine for supraclavicular brachial plexus block in upper limb surgeries. Materials and Method: In this prospective randomized study total 60 patients undergoing upper extremity surgeries were given block using a peripheral nerve stimulator. Group A received 0.5% ropivacaine, 30ml and Group B received 0.5% bupivacaine, 30ml. Sucess of the block was assessed by determining loss of shoulder abduction and loss of pinprick in the C5-T1 dermatomes. The onset of action (sensory and motor) and duration of action (sensory, motor) were recorded. Post operative analgesia was assessed by using visual analog scale. The results were tabulated and statistically analyzed. Results: There was statistically significant difference in the mean onset time to achieve maximum sensory level between group A(7.87+/-2.13mins) and group B(9.53+/-2.45mins). Duration of sensory block and analgesia was similar in both the groups. However motor block was more prolonged in group B(556+/-93.7mins) as compared to, group A(467+/-92.5 mins). Conclusion: Ropivacaine is a suitable alternative to bupivacaine in supraclavicular brachial plexus block for upper limb surgeries.
Authors and Affiliations
Priyadarshini Sujata
Keywords
Related Articles
- EP ID EP533499
- DOI 10.21088/ijaa.2349.8471.5318.18
- Views 81
- Downloads 0
Efficacy of intrathecal Buprenorphine a Sole Method of Analgesia in Labour : A Randomized Clinical Trial
Background: Parturients are often not prepared for labour analgesia in advance. They demand it when they are already in labour with unbearable pain; many a times an hour or two before the delivery. This study was done to...
Four Segments Versus two Segments Paravertebral Block for Inguinal Hernia Repair
Background: Paravertebral block (PVB) has been successfully used to provide good analgesia with fewer side effects in inguinal herniorrhaphy. So, the present study was conducted to compare the characteristics of two segm...
A Comparison Between Airtraq Optical Laryngoscope and Conventional Macintosh Laryngoscope for Intubation in Adult Surgical Patients: A Prospective Randomized Controlled Study
Tracheal intubation using a laryngoscope is considered as a gold standard 1 of airway management during administration of general anesthesia and also in critical care settings because of its several advantages including...
Comparison of Midazolam and Propofol for Entropy - Guided Sedation During Regional Anesthesia
Background and Aims: This study aimed to compare the sedation using Entropy of Midazolam and Propofol in regional anesthesia in terms of Onset, Recovery and Side Effects. Introduction: Regional anesthesia is a safe and p...
Effect of Preemptive Intravenous Magnesium Sulphate on Post Operative Analgesia for Surgeries Done under General Anaesthesia: A Prospective Randomised Study
Context: Effective postoperative analgesia is always a challenge. Drug therapies in vogue have their own merits and demerits. Thus a concept of preemptive analgesia has evolved. Aims: The present study was aimed to evalu...