Comparative study of 0.5% ropivacaine and 0.5% bupivacaine for brachial plexus block by supraclavicular approach for upper limb surgeries

Modak, Shailendra; Basantwani, Shakuntala

doi:10.18203/2319-2003.ijbcp20162243

Cited by 6 publications

(6 citation statements)

References 11 publications

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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%

“…This was similar to the study by D Tripathi et al, Modak S Basantwani S, Anupreet Kaur et al and Iwao Sakonju et al, which reported shorter duration of action with Ropivacaine. [14][15][16]19 However, it is in contrast to the study by Himat Vaghadia et al, which found that both drugs were comparable in duration of action. 20 However, in this study, different concentrations of the anesthetic agents were used, which might have led to the comparable results.…”

Section: Discussionmentioning

confidence: 91%

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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%

Section: Discussionmentioning

confidence: 91%

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

et al. 2019

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“…ASA 1 and 2 patients were taken for study. It was similar to the study by Gonuguntla SB in 2016 [6] who studied 60 patients aged between 18 and 60 years old of both sex of ASA I and II undergoing elective upper limb surgeries under supraclavicular brachial plexus block. Results of the their study too, did not show significant difference in the demographic data of the groups of patients as regard age, male to female ratio, ASA physical status.…”

Section: Discussionsupporting

confidence: 87%

“…They concluded that onset of action of sensory, motor block was early in ropivacaine group with faster recovery of motor functions as compared to Bupivacaine group. Modak S et al, in 2016 [6] conducted a prospective double blind randomized study involving 60 patients of either sex, ASA 1 and 2. They received 30 ml of ropivacaine 0.5% and bupivacaine 0.5%.…”

Section: Discussionmentioning

confidence: 99%

Comparative study on efficacy of ropivacaine and bupivacaine for supraclavicular brachial plexus

Kc¹,

N²

2021

Int. J. Med. Anesthesiology

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Supraclavicular brachial plexus block is a very popular mode of anaesthesia for various upper limb surgeries, due to its effectiveness in terms of cost, performance, margin of safety and good postoperative analgesia. The study was a prospective randomized, double blind control study conducted on 60 patients aged 20 to 60 years, undergoing elective upper limb surgeries under supraclavicular brachial plexus block. Onset of sensory block between the two groups shows that onset of block is earlier in group B (Ropivacaine) with mean value of 11.93 min compared to group A(Bupivacaine) with a mean value of 14.33 min and is statistically significant. Onset of motor block is higher in Group A with mean value of 19.7 min compared to group B which has a mean value of 14.9 min and is statistically significant. Comparison of duration of block between the two groups shows that duration of sensory block is longer in group A with a mean value of 446.43 min compared to group B with a mean value of 420.37 min and is statistically significant. Duration of motor block is longer in group A with a mean value 406.97 min and is statistically significant.

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“…23 also reveal similar findings where a mean onset time for sensory blockade less than 6 minute and motor blockade between 7 to 9 minute was observed with 30 ml of 0.75 % of Ropivacaine in inter scalene brachial plexus block which is comparable to our study. Study of Modak et al 24 had similar onset and duration of sensory and motor block without any side effects as ours using 30 ml of 0.5 % ropivacaine but the duration of analgesia was longer.…”

Section: Discussionsupporting

confidence: 70%

The Study of Effectiveness of Ropivacaine in Axillary Brachial Plexus Block for Forearm Surgery

et al. 2020

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Brachial plexus block is a suitable alternative to general anaesthesia for patient undergoing upper extremity surgery. Ropivacaine the S-enantiomer emerged as a possible replacement of Bupivacaine without undesirable toxic effects.Therefore this study was conducted to assess the block characteristics and side effects of 0.75% ropivacaine in axillary brachial plexus block for forearm surgeries. This interventional study was carried out in 30 patients of ASA physical status I or II, aged 18 to 60 yrs undergoing elective surgery u nder axillary brachial plexus block with 20 ml of 0.75 % Ropivacaine using ultrasound and nerve stimulator. The mean onset time of sensory block was 4.53 ± 1.18 minutes and duration of sensory block was 491.00 ± 57.45 minutes. The mean onset time of motor block was 9.17 ± 1.39 minutes and duration of motor block was 452.50 ± 52.34 minutes. The mean time for rescue analgesia or total analgesic effect was 569.47 ± 88.46 minutes. No patients developed any side effects. The result of this study concluded that Ropivacaine is a safe drug providing longer duration of sensory analgesic effect and early recovery of motor function with good operating conditions for forearm surgeries under brachial blexus block.

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Comparative study of 0.5% ropivacaine and 0.5% bupivacaine for brachial plexus block by supraclavicular approach for upper limb surgeries

Cited by 6 publications

References 11 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

Comparative study on efficacy of ropivacaine and bupivacaine for supraclavicular brachial plexus

The Study of Effectiveness of Ropivacaine in Axillary Brachial Plexus Block for Forearm Surgery

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