Sciatic nerve block with 0.5% levobupivacaine, 0.75% levobupivacaine or 0.75% ropivacaine

Casati, Andrea; Vinciguerra, F.; Santorsola, Roberta; Aldegheri, Giorgio; Putzu, Marta; Fanelli, Guido

doi:10.1017/s0265021505000773

Cited by 34 publications

(34 citation statements)

References 23 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results in this study were similar to that reported by Cline et al (2004). 18 Similar to results of present study, Casati et al (2005). 19 revealed different clinical profiles in the sciatic nerve block when levobupivacaine 0.75% was compared to ropivacaine 0.75% or levobupivacaine 0.5%.…”

Section: Discussionsupporting

confidence: 85%

Comparative Study Between Levobupivacaine With Clonidine and Ropivacaine With Clonidine in Thoracic Epidural Block for Laparoscopic Cholecystectomy

Pandey¹,

Kumar²,

Kang³

et al. 2015

jemds

View full text Add to dashboard Cite

INTRODUCTION:Laparoscopic cholecystectomy has traditionally been performed under general anesthesia, however, with the development and advancement of newer surgical and anesthetic techniques, approaches using regional anaesthesia are emerging as a viable and useful alternative. This study was conducted to compare the postoperative analgesic efficacy and safety of levobupivacaine with clonidine and ropivacaine with clonidine. MATERIAL AND METHODS: A randomized single-blind controlled trial was done with 60 patients of American Society of Anesthesiologists Grade I or II status undergoing laparoscopic cholecystectomy. Group I (N = 30) (patients n = 30) received epidural anesthesia 0.5% (2 mg/kg) levobupivacaine with 1.2 µg/kg clonidine. Whereas group II (N=30) received epidural anesthesia 0.75% (3 mg/kg) ropivacaine with 1.2 µg/kg clonidine.. Vital parameters were recorded. RESULTS: In both the groups, throughout the procedure, mean heart rate and blood pressure levels were either significantly lower or comparable to the baseline levels. In both the groups most of the times hypotensive effect of anaesthetic agents was observed. CONCLUSION: Levobupivacaine with clonidine provided an early and longer block and showed lesser analgesic need for shoulder pain as compared to ropivacaine with clonidine yet both the groups showed a high decline in blood pressure that necessitated the vasopressor use.

show abstract

Section: Discussionsupporting

confidence: 85%

Comparative Study Between Levobupivacaine With Clonidine and Ropivacaine With Clonidine in Thoracic Epidural Block for Laparoscopic Cholecystectomy

Pandey¹,

Kumar²,

Kang³

et al. 2015

jemds

View full text Add to dashboard Cite

show abstract

“…At higher concentrations, levobupivacaine might be more potent than ropivacaine. Casati et al [25] Our study showed that ropivacaine has a clinical profile that is similar to that of levobupivacaine when used for single-dose interscalene block or femoral nerve block at 0.5% concentration. The block onset time and the duration of motor and sensory block in the two groups of patients were similar.…”

Section: Discussionsupporting

confidence: 57%

A Comparison of Levobupivacaine and Ropivacaine for Interscalene and Femoral Nerve Blocks: A Randomized, Double-Blind, Prospective Clinical Trial

Hanna¹,

Sloan

2011

J Anesthe Clinic Res

View full text Add to dashboard Cite

Setting: Operating room of a university medical center.Patients: Thirty-five patients undergoing shoulder arthroscopy and thirty-six patients undergoing anterior cruciate ligament (ACL) reconstruction.Interventions: Patients undergoing shoulder arthroscopy were administered interscalene blocks, and patients undergoing ACL reconstruction were administered femoral nerve blocks. Patients in each group were randomized to receive either levobupivacaine 0.5% or ropivacaine 0.5%. Measurements:On postoperative days one and two, patients reported on the time of postoperative pain onset, the time when movement resumed in the operative limb, the time when pain medication was first required, and the amount of pain medication used. Patient satisfaction was measured 48 hours after the procedure on a 1-10 verbal numeric rating scale.Main results: Time to onset of anesthesia, intraoperative and postoperative opioid requirements, duration of postoperative analgesia, and overall patient satisfaction were similar between patients who received levobupivacaine and those who received ropivacaine. Conclusions:The study demonstrates that levobupivacaine and ropivacaine produce comparable postoperative analgesia when used for interscalene and femoral nerve blocks.Animal studies on conduction blocks produced by bupivacaine, levobupivacaine, and ropivacaine in isolated nerves showed that the onset and duration of nerve block induced by equimolar doses of these three agents are similar [11]. Several studies comparing ropivacaine with levobupivacaine and racemic bupivacaine for different nerve blocks showed that nerve blocks produced by ropivacaine have a clinical profile similar to that obtained with bupivacaine and levobupivacaine when used at similar concentrations and doses [4,11,12]. Other studies, however, found prolongation of sensory analgesia with levobupivacaine compared to ropivacaine [13]. A recent clinical trial comparing levobupivacaine 0.5% with ropivacaine 0.5% for the management of postoperative ankle surgery pain found that levobupivacaine provided more long lasting postoperative analgesia compared with the same dose

show abstract

“…In studies using hyperbaric bupivacaine, to position the patient in lateral position for 10-20 minutes was suggested for intensifying block for unilateral spinal anesthesia (15). In our preliminary studies, it was determined that 5 minutes lying in lateral position was sufficient.…”

Section: Discussionmentioning

confidence: 93%

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

Sciatic nerve block with 0.5% levobupivacaine, 0.75% levobupivacaine or 0.75% ropivacaine

Abstract: We conclude that 0.75% levobupivacaine provides a shorter onset time than 0.5% levobupivacaine and a longer duration of postoperative analgesia than both 0.5% levobupivacaine and 0.75% ropivacaine with reduced need for rescue analgesia after surgery.

Cited by 34 publications

References 23 publications

Comparative Study Between Levobupivacaine With Clonidine and Ropivacaine With Clonidine in Thoracic Epidural Block for Laparoscopic Cholecystectomy

Comparative Study Between Levobupivacaine With Clonidine and Ropivacaine With Clonidine in Thoracic Epidural Block for Laparoscopic Cholecystectomy

A Comparison of Levobupivacaine and Ropivacaine for Interscalene and Femoral Nerve Blocks: A Randomized, Double-Blind, Prospective Clinical Trial

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

Contact Info

Product

Resources

About