Supraclavicular block Comparison between Bupivacaine and Ropivacaine at equal concentrations.

Dr. Inturi Ravi Mohan; Dr. Kannaji Siddardha

Volume : V, Issue : XII, December - 2016

Supraclavicular block Comparison between Bupivacaine and Ropivacaine at equal concentrations.

Dr. Inturi Ravi Mohan, Dr. Kannaji Siddardha

Abstract :

BACKGROUND: For upper limb Surgeries, Brachial plexus block is the preferred Regional anesthesia technique. Local anesthetics administered provides anesthesia for the upper limb surgeries.This study compares the effect of Bupivacaine 0.5% & Ropivacaine 0.5% used for Supraclavicular achial plexus block. METHODOLOGY: This comparative randomized study was conducted between 2014–2016. The study subjects were 60 patients of both sexes between 18–60 years of age who were scheduled for elective upper limb surgeries. They were divided into two groups. Group B received 30ml Bupivacaine 0.5%(5mg/ml) and group R received 30ml of Ropivacaine 0.5%(5mg/ml). The outcome measured were onset and duration of sensory and motor block duration of analgesia and complications. RESULTS: The duration of motor block is higher in group B(Bupivacaine)369+41 min compared to group R(Ropivacaine)336+37min with a p value of 0.002. CONCLUSION: On the basis of our study, we can draw the conclusion that at equal volumes Bupivacaine 0.5% has an advantage over Ropivacaine 0.5% for Supraclavicular Brachial Plexus block in terms of Early onset of Sensory blockade. Early onset of Motor blockade. Prolonged Duration of Sensory blockade. Prolonged Duration of Motor blockade. Prolonged Duration of Analgesia