Comparative study of ropivacaine and laevobupivacaine with clonidine as an adjuvant in infraclavicular brachial plexus block for lower arm surgeries

Dr Srihari Gutte; Dr Rajashri B. Sonwane

Volume : IX, Issue : II, February - 2020

Comparative study of ropivacaine and laevobupivacaine with clonidine as an adjuvant in infraclavicular brachial plexus block for lower arm surgeries

Dr Srihari Gutte, Dr Rajashri B. Sonwane

Abstract :

Introduction: Infraclavicular block is a safe and simple technique for providing surgical anaesthesia of the lower arm with an efficacy comparable to other achial plexus block Ropivacaine and Levobupivacaine has similar efficacy to bupivacaine with enhanced safety profile. Clonidine improves the reliability and efficacy of peripheral nerve block. Aims and Objectives:To compare the block characteristics of ropivacaine and laevobupivacaine with clonidine as an adjuvant in infraclavicular achial plexus block. Material and Methods: For this prospective study ,60 patients were randomized into two groups ,Group A-0.5% ropivacaine 30 cc and inj. clonidine 1ug/kg and Group B-0.5% laevobupivacaine 30cc and inj.clonidine 1ug/kg and infraclavicular achial plexus block was given.The onset of sensory block, motor block, the duration of sensory block and motor block, the quality of surgical anaesthesia, the duration of postoperative analgesia, VAS score, haemodynamic parameters and side effects were observed. Results: Onset of sensory block and motor block was earlier with laevobupivacaine. Duration of sensory and motor block was longer in laevobupivacaine group. Quality of surgical analgesia was excellent in 100% in both groups. Duration of post operative analgesia was same in both groups.. Haemodynamically patients were stable and there were no significant side effects seen in either groups. Conclusion; Laevobupivacaine with clonidine and ropivacaine with clonidine are comparable in infraclavicular achial plexus block for lower arm surgeries.