Volume : IX, Issue : VIII, August - 2020

A COMPARITIVE STUDY OF BUPIVACAINE 0.5% AND ROPIVACAINE 0.5% FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

Dr Seema Sharma

Abstract :

OBJECTIVES Supraclaviculal Brachial plexus block provides safe, effective, low cost anaesthesia with excellent post operative analgesia . The current study was an attempt to compare Bupivacaine 0.5% with Ropivacaine 0.5% in supraclavicular achial plexus block with respect to Onset time and Duration of Sensory blockade , Duration of Analgesia, Side effects. METHODS Each patient was randomly allocated to one of the two groups of 30 patients each. Group B – i.e Bupivacaine group receives 30 ml Bupivacaine 0.5% ( 5 mg/ml) Group R – i.e Ropivacaine group receives 30 ml Ropivacaine 0.5% ( 5 mg/ml ) RESULTS Onset of Sensory and Motor block We observed that onset of sensory block was earlier in Bupivacaine group (Group B) having a mean value 17.70±2.35 minutes in comparision with ropivacaine group (Group R ) having a mean value of 22.13±3.05 minutes. onset of Motor block was earlier in Bupivacaine group (Group B) having a mean value of 25.43±2.22 minutes in comparision with ropivacaine group ( Group R ) having a mean value of 27.90±1.88 minutes which is statistically significant . Duration of Sensory and Motor block The Duration of sensory block was 342.00±47.66 minutes with Bupivacaine group ( Group B) and 302.00±42.38 minutes with Ropivacaine group ( Group R ) . The duration of sensory block was longer in Bupivaine group compared with Ropivacaine group . The Duration of Motor block was 369.00±41.05 minutes with Bupivacaine group ( Group B) and 336.00±37.29 minutes with Ropivacaine group ( Group R ) . The duration of Motor block was longer in Bupivacaine group compared with ropivacaine group ,which is statistically significant. Duration of Analgesia The Duration of Analgesia was 372.00±42.86 minutes with Bupivacaine group ( Group B) and 341.00±36.52 minutes with Ropivacaine group ( Group R ) . The duration of Analgesia was longer in Bupivaine group compared with Ropivacaine group ,which is statistically significant . CONCLUSION Bupivacaine 0.5 % has Early onset of Sensory blockade ,Early onset of Motor blockade,Prolonged Duration of Sensory blockade ,Prolonged Duration of Motor blockade, Prolonged Duration of Analgesia when compared to Ropivacaine 0.5 % at equal volumes.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

A COMPARITIVE STUDY OF BUPIVACAINE 0.5% AND ROPIVACAINE 0.5% FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK, Dr Seema Sharma INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-8 | August-2020

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