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KMID : 0356920090560020162
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Korean Journal of Anesthesiology
2009 Volume.56 No. 2 p.162 ~ p.168
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Comparison of vertical infraclavicular brachial plexus block with 0.5% levobupivacaine and 0.5% ropivacaine for upper limb surgery
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Cho Choon-Kyu
Kim Joong-Yeoun
Jung Sung-Mee
Kwon Hee-Uk
Kang Po-Soon
Kim Chul-Woung
Han Jeong-Uk
Yang Chun-Woo
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Abstract
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Background: We performed a prospective, double blind study to compare the clinical effect of vertical infraclavicular brachial plexus block produced by 0.5% levobupivacaine and 0.5% ropivacaine for upper limb surgery.
Methods: We included 60 patients receiving upper limb surgery under infraclavicular brachial plexus block. The infraclavicular brachial plexus block was performed via the vertical technique with 30 ml of 0.5% levobupivacaine or 0.5% ropivacaine. We observed which nerve type was stimulated and scored the sensory and motor block. The quality of block was assessed intraoperatively. The duration of sensory and motor block and complications were assessed.
Results: There were no significant differences in frequencies of stimulated nerve type, evolution of sensory and motor block quality, or success of block. There were no significant difference in duration of sensory block, but duration of motor block was prolonged after 0.5% levobupivacaine. There were no complications.
Conclusions: Both 0.5% levobupivacaine and 0.5% ropivacaine had similar effects in the vertical infraclavicular brachial plexus block. (Korean J Anesthesiol 2009; 56: 162∼8)
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KEYWORD
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Infraclavicular brachial plexus block, Levobupivacaine, Ropivacaine, Upper limb surgery
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