ISSN : 0975-9492


Open Access

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Title : Supraclavicular Brachial Plexus Block For Upper Limb Orthopedic Surgery: A Randomized, Double Blinded Comparison Between 0.5%Ropivacaine And 0.5% Bupivacaine.
Authors : Dr.Jigisha Prahladrai Badheka, Dr Rashida M. Jadliwala, Dr.Jagdish Shigar, Dr. Raghu S.Parmeshwar, Dr Nirav J. Kacha
Keywords : Supraclavicular brachial plexus block, bupivacaine, ropivacaine, upper limb orthopaedic surgery, postoperative analgesia.
Issue Date : April 2015
Abstract :
Purpose: This prospective double blinded study designed with the aim of comparing the onset, duration of sensory and motor block and analgesic effect of ropivacaine 0.5%with bupivacaine 0.5% when used in supraclavicular brachial plexus block in patients undergoing upper limb orthopedic surgeries. Materials and method: 60 patients of either sex, aged 20-66 yrs, scheduled for elective upper limb orthopedic surgeries under supraclavicular brachial plexus block, were randomly divided into two groups containing 30 patients in each. Group B received 0.5% 30ml bupivacaine and group R received 0.5% 30ml ropivacaine. Patients were observed for onset, duration of sensory and motor blockade, post-operative analgesia using visual analogue scale and complications if any. Results: In comparison to equal volume of 0.5% bupivacaine, 0.5% ropivacaine provides significant earlier onset of sensory block (9.52 min & 7.46 2.54 min respectively) and motor block (12.62.2 min & 10.662.24 min respectively).There is statistically significant longer duration of motor block with bupivacaine (486.1656.74) as compared to ropivacaine (35955.66 min). However duration of sensory blockade, duration of analgesia and haemodynamic were comparable in both groups. We observed convulsions in one patient in bupivacaine group which was successfully managed. No complications were encountered in ropivacaine group. Conclusion: Ropivacaine provides faster onset of sensory and motor block with less duration of motor block, equal postoperative analgesia and higher safety profile as compared to bupivacaine.
Page(s) : 627-632
ISSN : 0975-9492
Source : Vol. 6, No.4