| A clinical comparison of vertical infraclavicular brachial plexus block using 0.75% or 0.5% ropivacaine for upper limb surgery. |
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Jeong Min Park, Sung Mee Jung, Choon Kyu Cho, Young Su Lim, Ja Hyun Ku, Youn Moo Heo, Jang Ho Song, Chun Woo Yang |
1Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. everycw@naver.com
2Department of Orthopedic Medicine, College of Medicine, Konyang University, Daejeon, Korea.
3Department of Anesthesiology and Pain Medicine, College of Medicine, Inha University, Incheon, Korea. |
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| Abstract |
BACKGROUND
We performed a prospective, double blind study to compare the clinical effect of vertical infraclavicular brachial plexus block produced by 0.75% vs 0.5% ropivacaine for upper limb surgery.
METHODS
We included 80 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 0.75% or 0.5% ropivacaine.
By observation, we determined nerve type was stimulated and scored the level of sensory block and motor block. The quality of blocks was assessed intra-operatively. The duration of sensory block and motor block and their complications were assessed.
RESULTS
There were no significant differences in the frequency of stimulated nerve type, evolution of sensory and motor block quality, or success of block. There were no significant differences in the duration of sensory block and motor block. Vascular puncture was noted in 1 patient in the 0.75% ropivacaine.
CONCLUSIONS
Both the 0.75% and 0.5% ropivacaine had similar effects in the vertical infraclavicular brachial plexus block. |
| Key Words:
Ropivacaine; Upper limb surgery; Vertical infraclavicular brachial plexus block |
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