To Compare Isobaric 0.5% Levobupivacaine with Isobaric 0.5% Ropivacaine in Brachial Plexus Block For Elective Upper Limb Surgery.

Brachial Plexus Block for Elective Upper Limb Surgery

Abstract

Background: The study entitled "To compare the effects of 0.5% Levobupivacaine with 0.5% Ropivacaine for brachial plexus block in elective upper limb surgeries" was conducted at Bombay Hospital, Indore (M.P.). Subjects and Methods: The study entitled "To compare the effects of 0.5% Levobupivacainewith 0.5% Ropivacaine for brachial plexus block in elective upper limb surgeries" was conducted at Bombay Hospital, Indore (M.P.) Sixty patients aged between 18yrs and 60yr physical status ASA grade 1 and ASA grade 2 undergoing elective upper limb surgeries were included in the study. Results: Mean onset time of sensory block was rapid ingroup L (11.2031.58) minutes as compared to group R (13.621.544) minutes which is statistically significant with p value < 0.05.Mean duration of sensory block wassignificantly prolonged in group L (12.071.09) hours as compared to group R(10.8401.713) hours which is statistically significant with p value < 0.05.Mean duration of motor block was significantly prolonged in group L (11.1371.513) hours as compared to group R(10.0631.209) hours which is statistically significant with p value <0.05. Mean onset time of motor block was rapid in group L (17.370?1.618) minutes as compared to group R (18.977?1.375) minutes which is statistically significant with p value < 0.05. Mean duration of Analgesia motor block was significantly prolonged in group L (15.073?.902) hours as compared to group R(12.663?1.608) hours which is statistically significant with p value <0.05. Conclusion: To conclude the study, we observed Levobupivacaine 0.5% having better profile in comparison to ropivacaine 0.5%in having Faster onset of sensory and motor blockade, Prolonged duration of sensory and motor blockade, Prolonged duration of analgesia, Levobupivacaine should be considered for peripheral nerve block when postoperative analgesia is a concern but not when an early return of motor function is desired in postoperative period for upper limb elective surgeries.