PROSPECTIVE RANDOMIZED DOUBLE BLINDED COMPARATIVE STUDY OF SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK USING LEVOBUPIVACAINE VERSUS ROPIVACAINE.

Dr. Ashish Gupta; Dr. Gopal Singh Maravi

Volume : IX, Issue : II, February - 2020

PROSPECTIVE RANDOMIZED DOUBLE BLINDED COMPARATIVE STUDY OF SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK USING LEVOBUPIVACAINE VERSUS ROPIVACAINE.

Dr. Ashish Gupta, Dr. Gopal Singh Maravi

Abstract :

Background: Over decades various local anaesthetic agents have been used for utility of supraclavicular achial plexus block. Levobupivacaine, an excellent local anaesthetic as well as Ropivacaine, a long-acting local anaesthetic. Methodology: Patients were randomly allocated into two study groups (30 patients each) of all patients received 30 ml of 0.5% injection Levobupivacaine and injection Dexmedetomidine 1�g/kg (LD) while in other group all patients received 30 ml of 0.5% injection Ropivacaine and injection Dexmedetomidine 1�g/kg (RD). Results: Time to onset and duration of both sensory and motor block was comparable in two groups (P>0.05). Though mean duration of analgesia was significantly (p<0.005) more for Group-LD when compared to Group-RD. The difference in mean score of VAS in both groups was significantly better for LD-Group at 12, 14 and 16 hour post-operative period (P<0.05) though initially it was comparable.The consumption of Diclofenac as rescue analgesia was significantly higher in Group-RD as compared to Group-LD. Conclusion: Addition of dexmedetomidine along with levobupivacaine for supraclavicular achialplexus block enhances the duration of postoperative analgesia as well diminished requirement for rescue analgesia in postoperative period compaired to along with ropivacaine.