Comparision Between Bupivacaine and Ropivacaine in Patients Undergoing Forearm Surgeries Under Axillary Brachial Plexus Block: A Prospective Randomized Study

Kaur, Anupreet

doi:10.7860/jcdr/2015/10556.5446

Cited by 35 publications

(28 citation statements)

References 15 publications

(11 reference statements)

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“…In this study, the onset of sensory and motor blockade was faster in Group R as compared to Group B. This is similar to the study by Laura Bertini et al, D Tripathi et al, Modak S Basantwani S and Anupreet Kaur et al [13][14][15][16] In the study by Hickey R, Hoffman J et al, and Vainionpaa et al, no significant differences were found in the onset of blockade by both the local anesthetics. 17,18 This may be due to the fact that in the present study peripheral nerve stimulator guidance was used, which enabled targeted drug delivery and hence, the difference in the results.…”

Section: Discussionsupporting

confidence: 89%

A comparative study on the effectiveness of bupivacaine and ropivacaine for supraclavicular block

et al. 2019

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Background: Bupivacaine and Ropivacaine have been extensively studied &their properties with respect to onset, duration and quality of block. This study aims to detect whether addition of clonidine to both of them changes their properties. This study also aims to use lower than usual dosages for both the local anesthetics to prevent adverse effects of local anesthetics.Methods: After obtaining ethical approval, the study was carried out on patients undergoing elective upper limb surgeries. They were randomly divided into two Groups: Group B and Group R. The onset and duration of sensory and motor blockade and other parameters were assessed.Results: The onset of blockade, both sensory & motor was earlier in Ropivacaine as compared to Bupivacaine group. Mean duration of blockade, both sensory & motor, was more in the Bupivacaine group. Conclusions: Addition of Clonidine enabled the use of low concentrations (0.25%) of both the anesthetics. Also, Ropivacaine (0.25%) has faster onset of sensory and motor blockade, shorter duration of action and less motor blockade compared to Bupivacaine.

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Section: Discussionsupporting

confidence: 89%

A comparative study on the effectiveness of bupivacaine and ropivacaine for supraclavicular block

et al. 2019

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“…In a Polish study (12) among 20 ESRD patients the effects of ultrasound-guided infraclavicular brachial plexus block was demonstrated with Ropivacaine block as shown in our study. The Indian study (16) revealed that Ropivacaine had longer and faster effects versus bupivacaine with further anesthetic effects as well as our study. Among our limitation were cases that were lost to follow-up and lack of competency in all anesthesiologists for axillary block.…”

Section: Discussionsupporting

confidence: 74%

“…The best agents for axillary block are those with longer anesthesia duration and appropriate immobility duration (8)(9)(10)(11)(12)(13)(14)(15)(16). It would develop permission for upper limb movements that would help to better blood flow in fistula and prevention of thrombosis.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Primary Patency and Maturation Rate of Antecubital Artriovenous Fistula for Dialysis in Diabetic Patient with Two Methods: Regional Block with Ropivacaine 0.5% and Local Anesthesia with Lidocaine 2%

Tadayon

Tajiknia

Mozaffar

et al. 2020

ABCMed

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Background: The best arteriovenous access in diabetic patients under dialysis is crucial to attain better therapeutic outcomes and improved prognosis in the patients. The purpose in this study was to compare the primary patency and maturation rate of antecubital artriovenous fistula for dialysis in diabetic patient with two methods: regional block with Ropivacaine 0.5% and local anesthesia with lidocaine 2%. Methods and Materials: In this randomized clinical trial, 40 consecutive diabetic patients under dialysis in 2016 and 2017 in a training center were enrolled and the primary patency and maturation rate of antecubital artriovenous fistula were compared with regional block with Ropivacaine 0.5% versus local anesthesia with lidocaine 2%. Results: The results in this study demonstrated that all factors of final arterial and venous diameter, blood flow, and patency were higher in group under regional block with Ropivacaine 0.5% and all except patency showed significant difference (P < 0.05). The complications rates were alike across the groups (P > 0.05). Conclusion: Totally, according to the obtained results, it may be concluded that regional block with Ropivacaine 0.5% is superior to local anesthesia with lidocaine 2% leading to higher patency rate and shorter maturation time and also higher arteriovenous diameter and blood flow.

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“…This finding is similar to the study done by Kaur who reported sensory block duration significantly higher in bupivacaine group (450.40±54.50min) as compared to ropivacaine group(421.20±38.33min) (pvalue0.033). [22] The comparatively lesser duration of sensory block was in present study can be explained on the basis of lesser volume of local anesthetic 23 ml versus 40 ml used by Kaur and colleagues. Further the mean duration of motor block was significantly longer in group B was (287.50±29.704 min) as compared Group R (190.48±21.580 min) (P value=0.000).This was consistent with the study by Kaur and colleagues.…”

Section: Discussionmentioning

confidence: 53%

Comparative Evaluation of Magnesium as an Adjuvant To 0.5% Bupivacaine and 0.5% Ropivacaine In Ultrasound Guided Interscalene Brachial Plexus Block

Singh¹,

Verma²,

Pathania³

et al. 2017

Ann. Int. Med. Den. Res.

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Background: To study the effect of magnesium sulphate as an adjuvant to Bupivacaine and Ropivacaine in ultrasound guided interscalene block in patients scheduled for orthopedic surgeries around the shoulder. Methods: Sixty patients (20-60 years) posted for elective orthopedic surgeries around the shoulder under interscalene brachial plexus block were divided into two Groups B and R in a randomized fashion. In group B (n = 30), 20 ml 0.5% bupivacaine plus 150 mg (3 ml of 50:1 solution) magnesium sulfate and in group R (n = 30), 20 ml 0.5% Ropivacaine plus 150 mg (3 ml of 50:1 solution) magnesium sulfate was administered in ultrasound guided interscalene block. After performance of the block it was evaluated for its onset time and duration of sensory and motor block every 3 min up to 30 min and subsequently hourly intervals up to 24hr. The time of first analgesic demand (VAS>4), total analgesic need, hemodynamic stability and side effects were recorded during the study. Results: The duration of sensory and motor block and the time to first analgesic demand was significantly longer (P<0.05) in Group B. In addition the total need for rescue analgesics in the post-operative period was also significantly lower (P<0.05) in this group compared to Group R. Intraoperative hemodynamics was comparable and no appreciable side effect was noted in the study. Conclusion: This study demonstrates that the addition of magnesium sulfate to Bupivacaine when compared to Ropivacaine in interscalene brachial plexus block provides enhanced sensory and motor block duration, prolonged duration of analgesia and decreased total postoperative analgesic needs with no side effects, hence could be a more rational combination.

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Comparision Between Bupivacaine and Ropivacaine in Patients Undergoing Forearm Surgeries Under Axillary Brachial Plexus Block: A Prospective Randomized Study

Cited by 35 publications

References 15 publications

A comparative study on the effectiveness of bupivacaine and ropivacaine for supraclavicular block

A comparative study on the effectiveness of bupivacaine and ropivacaine for supraclavicular block

Comparison of Primary Patency and Maturation Rate of Antecubital Artriovenous Fistula for Dialysis in Diabetic Patient with Two Methods: Regional Block with Ropivacaine 0.5% and Local Anesthesia with Lidocaine 2%

Comparative Evaluation of Magnesium as an Adjuvant To 0.5% Bupivacaine and 0.5% Ropivacaine In Ultrasound Guided Interscalene Brachial Plexus Block

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