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Indian Journal of Anesthesia and Analgesia 7(3):p 780-786, May-June 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.19
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A study of Efficacy and Safety of Ropivacaine (0.5%) versus Levo Bupivacaine (0.5%) in Cervical Epidural Anaesthesia for Upper Limb Surgery
Asodariya Nidhi Chandreshbhai , Fumakiya Pooja Hasmukhbhai , Asodariya Nidhi Chandreshbhai , Sheikh Iramnaaz Ahmedhussain
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Indian Journal of Anesthesia and Analgesia 7(3):p 780-786, May-June 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.19
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Fumakiya Pooja Hasmukhbhai, Asodariya Nidhi Chandreshbhai, Sheikh Iramnaaz Ahmedhussain. A Study of Efficacy and
Safety of Ropivacaine (0.5%) Versus Levobupivacaine (0.5%) in Cervical Epidural Anaesthesia for Upper Limb Surgery. Indian J
Anesth Analg. 2020;7(3):780–786.
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Accepted : N/A
Published : N/A
Abstract
Regional anaesthesia is the preferred technique over general anaesthesia due to its overall fewer side effects. Cervical Epidural Anaesthesia (CEA) has been an upcoming technique for the past few years which provides safe and reliable anaesthesia for upper limb surgery. Objective: To compare the efficacy and safety of cervical epidural blockade with 0.5% Ropivacaine and 0.5% Levobupivacaine in upper extremity surgeries. Methods and Material: 50 patients were divided into two groups:- Group R: CEA block will be given with an Injection of Ropivacaine 10 ml (0.5%). Group L: CEA block will be given with an Injection of Levobupivacaine 10 ml (0.5%). Assessment of sensory and motor blockade was done in terms of onset and duration. Perioperative complications were recorded and managed accordingly. Results: The onset of sensory block with levobupivacaine was (6.28 ± 1.75min) and with ropivacaine was (5.56 ± 1.62 min) (p>0.05). The mean duration of sensory blockade was longer with levobupivacaine (296 ± 31.46 min) than with ropivacaine (192 ± 21.07 min). The mean time of onset of motor blockade(9.52±2.04 min) was shorter and duration (219 ± 31.74 min) was longer with Levobupivacaine than Ropivacaine (14.2 ± 3.75 min) and (165 ± 25.45 min) respectively. Postoperative Visual Analogue Score was higher in Ropivacaine. The mean time of duration of analgesia was longer in Levobupivacaine (315.6 ± 48.08 min). Conclusions: In an equal dose, Levobupivacaine has a faster onset (sensory and motor block) and longer duration (motor block and analgesia) as compared to Ropivacaine.
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Cite this article
Fumakiya Pooja Hasmukhbhai, Asodariya Nidhi Chandreshbhai, Sheikh Iramnaaz Ahmedhussain. A Study of Efficacy and
Safety of Ropivacaine (0.5%) Versus Levobupivacaine (0.5%) in Cervical Epidural Anaesthesia for Upper Limb Surgery. Indian J
Anesth Analg. 2020;7(3):780–786.
Licence:
| Received | Accepted | Published |
|---|---|---|
| N/A | N/A | N/A |
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.19
Keywords
Cervical Epidural TechniqueLevobupivacaineRopivacaineUpper Limb Surgery.Search for Similar Articles
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