A comparative study of 0.5% bupivacaine and 0.5% levobupivacaine in supraclavicular block in a tertiary care hospital
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 3
Abstract
Background: supraclavicular brachial plexus block have assumed important role in modern anaesthesia practice as they provide ideal effective conditions without any general anaesthesia or adverse haemodynamic effects. While compared with bupivacaine, 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% bupivacaine in supraclavicular brachial plexus block. Materials and Methods: In this prospective, randomized study, 2 groups of 25patients each were investigated, the cases were posted for elective upper limb orthopaedic surgeries were divided into group B-30 ml 0.5% bupivacaine/ group L-30 ml 0.5% levobupivacaine and the groups included both males and females. Study was done in Anaesthesia department of GEMSand Hospital, Srikakulam from Feb 2017 to July 2018. Results: Major differences in demographic data and physical status were not observed between both the groups in terms of age with 32.8 ± 12.1 and 33.5 ± 11.9, sex male and female ratio was 18/7 and 16/9, weight 62.8 ± 15.4 and 63.2 ± 14.6, height160 ± 10.7 and 161 ± 12.1 and ASA physical status were 19/6 and20/5 similar among the two groups of patients and the P-values were shown in the table 1. Duration of surgery was 33.8 and 36.8 minutes in group B and Group L correspondingly but there is no significant comparable difference between two groups (P=0.7351). On assessment of group B with group L, the difference in mean time for onset, peak and duration of sensory blockade and motor blockade were not significant P=0.7583. There are no statistical differences in latency, failure rate, and degree of the motor blockade, and failure of the sensorial blockade among two groups, but the latency of the sensorial blockade in all metameres analyzed showed statistically significant difference. Conclusion: Both levobupivacaine and bupivacaine are equally effective by means of sensory and motor blockade without possible damage.
Authors and Affiliations
Sireesha Ejjapuredi, Pradeep Kumar Das, Preethi Vaddi
Keywords
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- EP ID EP521250
- DOI 10.26611/10159312
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