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 77
- Downloads 0
HEARING IMPAIRMENT AND EAR DISEASES IN RURAL RAJASTHAN.
Background- Communication disorders are often being referred to those hidden disabling conditions, which usually affects the social and emotional well-being of an individual. Methods- The Department of ENT was conducted...
SATISFACTION OF PATIENTS ON OUTREACH SERVICES PROVIDED IN GURGAON
Background: Patient’s satisfaction is an attitude, a person’s general orientation towards a total experience of health care. It can be defined as the degree to which an individual regards the health care service or the m...
To study the patterns of fractures of Mandible
Background- Injuries of the maxillofacial complex represent one of the most important health problems worldwide. Methods- This was an observational, prospective, longitudinal study of patients presenting successively wit...
GENDER VARIATION EFFECT OF CHANGE IN POSTURE AMONGST HEALTHY YOUNG ADULTS
Background: Women are at less risk of coronary heart disease and of serious arrhythmias as compared to their male counterparts, with women lagging behind men in the incidence of sudden death by 20 years. This gender diff...
INTRAOPERATIVE GAMMA PROBE APPLICATION IN PATIENTS PRE-DIAGNOSED WITH OSTEOID OSTEOMA
Introduction: Osteoid osteoma is a benign but painful bone tumor that is treated with the excision of the nidus. Due to difficulties in reaching the tumor, intraoperative localization may be needed for complete excision...