SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK WITH BUPIVACAINE AND LEVOBUPIVACAINE: A COMPARATIVE STUDY
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 6
Abstract
Objective: To compare Bupivacaine and Levobupivacaine in supraclavicular brachial plexus block in terms of onset, degree, duration of sensory and motor blockade and analgesia and also to compare the prevalence of failure of blockade and its adverse effects. Methods: This was a prospective randomized double blind study which was done on 100 patients who were scheduled for arm and forearm surgeries. Patients were randomly divided into two groups of 50 patients. Group B: patients were given 30 ml of Bupivacaine Hcl (0.5%) and Group L: patients were given 30 ml of Levobupivacaine Hcl (0.5%). Heart rate, NIBP, respiratory rate and oxygen saturation (SpO2) were monitored. All the patients were premedicated with injection Ranitidine 50 mg IV and injection Ondansetron 4 mg IV. Injection Midazolam 1mg IV administered to all the patients after completion of block. All the patients were observed for onset of sensory and motor blockade, duration of sensory and motor blockade, degree of sensory and motor blockade, duration of effective analgesia, hemodynamic changes, side effects and complications. Result and interpretation: Time of onset of sensory and motor blockade was comparable between both groups. The time of onset of sensory blockade was not statistically significant (p=0.0521). The time of onset of motor blockade was not statistically significant (p=0.534). Maximum patients achieved grade 2 block in both the groups. Duration of sensory and motor block was comparable in both the groups. Mean duration of sensory block was not statistically significant (p=0.0987). Similarly duration of motor block was not statistically significant (p=0.0801). Mean duration of analgesia was not statistically significant (p = 0.0895). Both the groups were comparable in terms of duration of analgesia. Hemodynamic parameters and any side effects were observed in all the patients. Conclusion: There were no significant changes reported in both the groups during entire study period. Keywords: Anaesthesia, Bupivacaine, Levobupivacaine, supraclavicular brachial plexus block, Midazolam, Ondansetron.
Authors and Affiliations
Dr. Arunabh Mukharjee
Keywords
Related Articles
- EP ID EP531314
- DOI -
- Views 70
- Downloads 0
Study of clinical Profile in Chronic Kidney Disease Patients.
Background- Chronic Kidney Disease (CKD) is emerging as an important public health problem, not only in developed countries, but also in developing countries including India. Methods- The study was an observational study...
Management of Proximal Humerus Fracture - A Case Control Prospective Study
Objective: To study the management and functional outcome of the treatment of the fracture of neck humerus. Material and methods: 30 cases of neck humerus fractures were managed with closed reduction with U- Slab applica...
Tubercular Meningitis: The chronic disease with its emergent foot!
Context: Tubercular meningitis; the most feared complication of tuberculosis poses significant diagnostic challenges and has a high morbidity and mortality. Aims: To evaluate clinical, laboratory and radiological paramet...
EVALUATION OF FOCAL BREAST LESIONS USING ULTRASOUND ELASTOGRAPHY
Introduction: Women’s breast cancer, from the past era especially, has been a worldwide public health problem. Breast cancer is considered as women’s primary cancer and causes high morbidity and mortality that induce att...
COMPARISION OF RESULTS OF SUB GINGIVAL IRRIGATION
Background and Objectives: Gingivitis and periodontitis are primarily bacterial infections caused by diverse groups of microorganisms. The prevalence and severity of these diseases can be reduced by mechanical plaque rem...