A Double-Blinded, Randomized Comparison of Either 0.5% Levobupivacaine or 0.5% Ropivacaine for Sciatic Nerve Block

Casati, Andrea; Borghi, Battista; Fanelli, Guido; Cerchierini, Elisa; Santorsola, Roberta; Sassoli, V; Grispigni, C.; Torri, G.

doi:10.1097/00000539-200204000-00039

Cited by 89 publications

(56 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the literature, there is no study in which lower doses were used for unilateral spinal anesthesia. When the related studies were considered, 30 mL 0.5% levobupivacaine+10 mL 2% lidocaine were used for CSFB (11)(12)(13)(14). Because levobupivacaine does not act immediately, it was combined with a local anesthetic, lidocaine that acts, more speedily.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Sarı¹,

Eroğlu²,

Fusco³

et al. 2015

meandros

View full text Add to dashboard Cite

Objective: We aimed to evaluate the quality of anesthesia of combined sciatic and femoral 3-in-1 nerve blocks (CSFB) and unilateral spinal anesthesia technique with low-dose levobupivacaine in outpatients undergoing knee arthroscopy surgery. Materials and Methods: Forty American Society of Anesthesiologists (ASA) physical status I-II patients were randomly allocated into two groups and unilateral spinal anesthesia with low-dose levobupivacaine (group S, n=20) or CSFB (group B, n=20) was performed. Besides the quality of anesthesia, anesthetic effectiveness, hemodynamic values, duration of the technique application, maximum motor and sensorial block levels and durations, the first analgesics need, and total analgesic consumptions during postoperative 24 hours and determined complications were compared between the two groups.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Sarı¹,

Eroğlu²,

Fusco³

et al. 2015

meandros

View full text Add to dashboard Cite

show abstract

“…Da mesma forma, foi demonstrado que a ropivacaína parece não ser influenciada pela adição da clonidina, quando utilizada para bloqueio do plexo braquial 9 . Amediana da duração no bloqueio do nervo isquiático com ropivacaína a 0,5% é de 16 horas, com extremos de 8 e 24 horas 12 . Outros autores 11 demonstraram que a adição de 1 µg kg -1 de clonidina à ropivacaína a 0,75% no bloqueio do nervo isquiá-tico associou-se com significativo prolongamento da analgesia pós-operatória (mediana da duração de 16,8 horas no grupo com clonidina versus 13,7 horas no grupo com ropivacaína a 0,75%), embora não tenham sido demonstrados efeitos sobre a latência ou a qualidade da anestesia cirúrgica.…”

Section: Discussionunclassified

“…Bradycardia, defined as heart rate below 50 bpm, was treated with 0.5 fractional atropine doses. Sedation was evaluated throughout the observation period (between studied solutions administration and first systemic analgesic request or 24 hours post-blockade) by the Observer's Assessment of Alertness/Sedation Scale (0 = deep sedation; 20 = alertness) 12 . Anesthetic duration was defined as time in hours between blockade and first systemic analgesic request.…”

Section: Methodsmentioning

confidence: 99%

“…Bradicardia, definida como freqüência cardíaca menor que 50 bpm, foi tratada com doses fracionadas de 0,5 mg de sulfato de atropina. O grau de sedação foi avaliado durante todo o período de observação (entre a administração das soluções do estudo e a primeira solicitação de analgesia sistêmica ou 24 horas após o bloqueio) pela Escala de Avaliação por Obser-vador de Vigília e Sedação (0 = sedação profunda; 20 = vigí-lia) 12 . A duração da anestesia foi definida como o tempo -em horas -transcorrido entre a realização do bloqueio e a primeira solicitação de analgésico sistêmico.…”

Section: Métodounclassified

See 1 more Smart Citation

Efeitos da clonidina por via muscular e perineural no bloqueio do nervo isquiático com ropivacaína a 0,5%

Helayel¹,

Kroth²,

Boos³

et al. 2005

Rev. Bras. Anestesiol.

View full text Add to dashboard Cite

RESUMO qualidade da anestesia cirúrgica foi classificada c o m s u c e s s o o u f a l h a , s e g u n d o a n e c e s s i d a d e d e suplementação sistêmica. A duração foi o tempo desde a realização do bloqueio até a primeira solicitação de analgésico. RESULTADOS: As latências medianas foram 5, 12,5 e 17,5 minutos nos grupos 1 a 3, respectivamente (p = 0,11). As taxas de sucesso foram de 100%, 93% e 75%, respectivamente (p = 0,12). A duração da analgesia pós-operatória foi de 14,5, 13,5, e 13,75 horas, respectivamente (p = 0,15 1, 2 and 3, respectively (p = 0.11). Success rates were 100%, 93% and 75% (p = 0.12), and postoperative analgesia duration was 14.5, 13.5 and 13.75 hours (p = 0.15)

show abstract

“…(7) The use of levobupivacaine is described for peripheral nerve blocks besides epidural, caudal and spinal anesthesia and the agent is used for all common indications in a wide range of clinical settings. (8,9) Regional anaesthesia is becoming increasingly popular for orthopaedic surgery as it offers several advantages over general anaesthesia and a trend towards more peripheral and selective nerve blocks exists. (10) By this aim for upper limb surgery interscalene blocks are ideally suited for shoulder and upper arm surgery, supraclavicular nerve blocks for upper arm, elbow and radial side of forearm and the infraclavicular and axillary block are suited for hand, wrist and forearm surgery.…”

Section: Introductionmentioning

confidence: 99%

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

Mehrotra¹,

Baghel²,

Gupta³

2015

jemds

View full text Add to dashboard Cite

AIMAim of our study was to assess effect of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus block. OBJECTIVETo compare the onset time and duration of sensory and motor blockade of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus. MATERIAL AND METHODNinety patients of ASA I and II of age group 20yrs-60yrs of either sex were included in our study undergoing upper limb surgeries in Gandhi Medical College and Hamidia Hospital, Bhopal (MP). The patients were randomly divided into three groups:-Group I (n= 30) : Bupivacaine 0.5%-5mg/ml-30ml, Group II (n= 30) : Levobupivacaine 0.5%-5mg/ml --30ml, Group III (n=30) : Ropivacaine 0.5%-5mg/ml --30ml onset time of sensory and motor block, duration of sensory and motor block and duration of pain relief were recorded. RESULTAnalysis revealed that Ropivacaine provided fast onset of action and better quality of anaesthesia and analgesia than bupivacaine and levobupivacaine when used in axillary brachial plexus blockade. There was no significant difference in duration of sensory blockade between three groups. But Ropivacaine showed lesser duration of motor blockade when compared to bupivacaine and levobupivacaine. CONCLUSIONWe conclude that 0.5% 30ml of ropivacaine in axillary brachial plexus block is a safe dose, allowing practitioner to produce a fast onset of sensory block and long duration of peripheral nerve block with excellent postoperative analgesia and stable hemodynamics. So ropivacaine is a better option for forearm surgeries in axillary brachial plexus block when compared with bupivacaine and levobupivacaine.

show abstract

A Double-Blinded, Randomized Comparison of Either 0.5% Levobupivacaine or 0.5% Ropivacaine for Sciatic Nerve Block

Cited by 89 publications

References 17 publications

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Efeitos da clonidina por via muscular e perineural no bloqueio do nervo isquiático com ropivacaína a 0,5%

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

Contact Info

Product

Resources

About