A comparative study of 0.5% ropivacaine and 0.5% levobupivacaine in supraclavicular brachial plexus block

Prerana P Mankad; Jayendra C Makwana; Bharat J Shah

Article Details

A comparative study of 0.5% ropivacaine and 0.5% levobupivacaine in supraclavicular brachial plexus block

Authors:

Prerana P Mankad | Jayendra C Makwana | Bharat J Shah

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

brachial plexus block | levobupivacaine | ropivacaine | upper limb

Journal:

International Journal of Medical Science and Public Health Vol.5 Issue 1, pp.74-74

Document Type:

Article

Publication Date:

6/2015

Document Language:

English

Document ID (Org No.):

2001521751

pISSN:

2320-4664

Keywords:

Abstract:

 Background: To compare the clinical profiles of levobupivacaine and ropivacaine at equipotent doses for supraclavicular brachial plexus block for upper limb surgeries, we hypothesized that both will induce a similar upper limb anesthetic blockade in terms of sensory and motor blockades.
 
 Objective: To evaluate the effects of levobupivacaine and compare it with ropivacaine in brachial plexus block through supraclavicular route.
 
 Materials and Methods: For this prospective study, 60 patients of both sexes ASA I/II were enrolled and divided into two groups, and supraclavicular brachial plexus block was performed using levobupivacaine 0.5% and ropivacaine 0.5% using classical approach. The onset of sensory and motor block, their duration, and possible adverse events were recorded.
 
 Result: No statistically significant difference was observed in the onset of sensory block in both the groups. Onset of motor blockade was significantly faster with ropivacaine (9.50 ± 2.403 min) as compared to levobupivacaine (12.33 ± 2.537 min; P < 0.05). Duration of sensory and motor block was significantly short for ropivacaine than levobupivacaine (P < 0.05). Levobupivacaine has significantly longer duration of analgesia (12.56 ± 1.30 h) as compared to ropivacaine (9.93 ± 1.7 h; P < 0.05).
 
 Conclusion: Levobupivacaine, a novel long-acting local anesthetic agent, having better profile in terms of duration of analgesia, with a considered disadvantage of delayed wearing off of motor blockade, offers an alternative to ropivacaine for brachial plexus block in upper limb surgeries.

Article Details

A comparative study of 0.5% ropivacaine and 0.5% levobupivacaine in supraclavicular brachial plexus block

Authors: Prerana P Mankad | Jayendra C Makwana | Bharat J Shah

Publisher: Eldaghayes Publisher, Tripoli, Libya

Main Topics: brachial plexus block | levobupivacaine | ropivacaine | upper limb

Journal: International Journal of Medical Science and Public Health Vol.5 Issue 1, pp.74-74

Document Type: Article

Publication Date: 6/2015

Document Language: English

Document ID (Org No.): 2001521751

pISSN: 2320-4664

brachial plexus block

levobupivacaine

ropivacaine

upper limb

Issues

Authors:

Prerana P Mankad | Jayendra C Makwana | Bharat J Shah

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

brachial plexus block | levobupivacaine | ropivacaine | upper limb

Journal:

International Journal of Medical Science and Public Health Vol.5 Issue 1, pp.74-74

Document Type:

Article

Publication Date:

6/2015

Document Language:

English

Document ID (Org No.):

2001521751

pISSN:

2320-4664