Comparison of vertical infraclavicular brachial plexus block with 0.5% levobupivacaine and 0.5% ropivacaine for upper limb surgery.
10.4097/kjae.2009.56.2.162
- Author:
Choon Kyu CHO
1
;
Joong Yeoun KIM
;
Sung Mee JUNG
;
Hee Uk KWON
;
Po Soon KANG
;
Chul Woung KIM
;
Jeong Uk HAN
;
Chun Woo YANG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. everycw@naver.com
- Publication Type:Original Article
- Keywords:
Infraclavicular brachial plexus block;
Levobupivacaine;
Ropivacaine;
Upper limb surgery
- MeSH:
Amides;
Brachial Plexus;
Bupivacaine;
Double-Blind Method;
Humans;
Prospective Studies;
Upper Extremity
- From:Korean Journal of Anesthesiology
2009;56(2):162-168
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: We performed a prospective, double blind study to compare the clinical effect of vertical infraclavicular brachial plexus block produced by 0.5% levobupivacaine and 0.5% ropivacaine for upper limb surgery. METHODS: We included 60 patients receiving upper limb surgery under infraclavicular brachial plexus block. The infraclavicular brachial plexus block was performed via the vertical technique with 30 ml of 0.5% levobupivacaine or 0.5% ropivacaine. We observed which nerve type was stimulated and scored the sensory and motor block. The quality of block was assessed intraoperatively. The duration of sensory and motor block and complications were assessed. RESULTS: There were no significant differences in frequencies of stimulated nerve type, evolution of sensory and motor block quality, or success of block. There were no significant difference in duration of sensory block, but duration of motor block was prolonged after 0.5% levobupivacaine. There were no complications. CONCLUSIONS: Both 0.5% levobupivacaine and 0.5% ropivacaine had similar effects in the vertical infraclavicular brachial plexus block.
