Comparison of Ropivacaine and Levobupivacaine in Supraclavicular Brachial Plexus Blocks-A Double Blinded Randomized Control Study
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Original Article
P: 278-283
August 2021

Comparison of Ropivacaine and Levobupivacaine in Supraclavicular Brachial Plexus Blocks-A Double Blinded Randomized Control Study

Turk J Anaesthesiol Reanim 2021;49(4):278-283
1. Department of Cardiac Anaesthesia, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
No information available.
No information available
Received Date: 04.01.2020
Accepted Date: 24.07.2020
Publish Date: 03.08.2021
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ABSTRACT

Conclusion:

Levobupivacaine had longer duration of analgesia. The sensory and motor blockade was also longer with levobupivacaine.

Results:

The mean duration of analgesia in group ropivacaine was 8.33 hours and in group levobupivacaine was 10.23 hours which was statistically significant. Ropivacaine had a faster sensory onset compared to levobupivacaine (5.22 vs. 6.88 minutes). The duration of sensory and motor blockade was longer with levobupivacaine than ropivacaine (sensory—8.64 vs. 10.29 hours, motor—8.32 vs. 9.8 hours).

Methods:

Patients with American Society of Anaesthesiologists physical status I or II coming for elective upper limb surgeries were included in the study. Total numbers of 62 patients were randomly allocated into two groups, group A and group B. Group A received 25mL of 0.75% ropivacaine, and group B received 25mL of 0.5% levobupivacaine. The duration of analgesia, onset of block, duration of sensory, and motor blockade were studied and compared.

Background:

Brachial plexus anaesthesia has been an indispensable tool in the anaesthesiologist’s armamentarium. Clinical studies have shown that levobupivacaine and ropivacaine have fewer adverse effects on the cardiovascular and central nervous system making them more advantageous in regional anaesthesia techniques. Less information is available regarding their comparable clinical data. Only a few studies have compared levobupivacaine and ropivacaine for brachial plexus blocks; hence, this study was aimed to compare the analgesic effectiveness and nerve block characteristics of ropivacaine and levobupivacaine in supraclavicular brachial plexus blocks in upper limb surgeries.