Comparison of 0.5% Ropivacaine and 0.5% Levobupivacaine for Sciatic Nerve Block Using Labat Approach in Foot and Ankle Surgery

Autor:	Khushboo Malav, Manoj Kamal, Geeta Singariya, Bharat Paliwal, Sadik Mohammed, Pushpender Sangwan
Rok vydání:	2018
Předmět:	030222 orthopedics Ropivacaine business.industry Visual analogue scale Analgesic Foot and ankle surgery Confidence interval 03 medical and health sciences 0302 clinical medicine Levobupivacaine Sciatic nerve block Anesthesia medicine Original Article business Adverse effect medicine.drug
Zdroj:	Turkish Journal of Anesthesia and Reanimation.
ISSN:	2149-276X 2149-0937
DOI:	10.5152/tjar.2017.03411
Popis:	Objective Compared to ropivacaine, levobupivacaine is more lipophilic and a more potent vasoconstrictor. The study was conducted to compare the effect of 0.5% ropivacaine and 0.5% levobupivacaine in sciatic nerve block using conventional Labat approach in foot and ankle surgery. Methods A prospective double-blind, randomised study was carried out in 100 patients of either sex, aged between 20 to 60 years, and American Society of Anesthesiologist (ASA) grades I and II. Patients were randomly allocated into groups R and L of 50 each with 0.5% ropivacaine and 0.5% levobupivacaine, respectively, for sciatic nerve block using the Labat approach. We assessed the onset and duration of sensory and motor block, duration of analgesia, consumption of analgesic, and any untoward effect over 24 hours. Results Both the groups were comparable with regard to demographic variables and onset of sensory and motor block (p>0.05). Group L compared to group R had significantly longer median (95% confidence interval) duration of sensory block (647.50 min [624.99-674.41] vs. 535 min [524.77-559.83], respectively; p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1dba291078b8f91626003ef50ffbbfb1 https://doi.org/10.5152/tjar.2017.03411 Zobrazit plný text záznamu