Volume : VII, Issue : II, February - 2017

A comparative study between bupivacaine and levobupivacaine in Supraclavicular brachial plexus block

Dr. Mahesh Kumar

Abstract :

 Background: Bupivacaine in supraclavicular achial plexus block is well known & very potent local anaesthetic but it is highly cardiotoxic and neurotoxic. It’s recently introduced isomer levobupivacaine is proved to be less cardiotoxic and neurotoxic. Peripheral nerve blocks have assumed a prominent role in modern anaesthesia practice as they provide ideal operative conditions without any general anaesthesia or adverse haemodynamic effects. When compared with ropivacaine, levobupivacaine is a newer, safer, longer acting local anaesthetic with rapid onset and prolonged duration of analgesia and similar or more pronounced nerve blocking effects, depending on the concentration. Hence the present study is aimed to compare the effectiveness of 0.5% levobupivacaine and 0.5% ropivacaine in supraclavicular achial plexus block. Materials and Methods: In this study, 60 cases were taken posted for elective upper limb orthopaedic surgeries. Patients were randomized using sealed envelopes technique in 2 groups. (group B–30 ml 0.5% bupivacaine/ group L–30 ml 0.5% levobupivacaine). Study was done in Anaesthesia department of JLNMCH, Bhagalpur, Bihar from October 2015 to September 2016. The group included both males and females. Results: Statistical differences in latency, failure rate, and degree of the motor blockade, and failure of the sensorial blockade between both groups were not observed, but the latency of the sensorial blockade in all metameres analyzed showed statistically significant difference.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Mahesh Kumar, A comparative study between bupivacaine and levobupivacaine in Supraclavicular brachial plexus block, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾2 | February‾2017

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