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Korean J Anesthesiol > Volume 56(2); 2009 > Article
Korean Journal of Anesthesiology 2009;56(2):162-168.
DOI: https://doi.org/10.4097/kjae.2009.56.2.162   
Comparison of vertical infraclavicular brachial plexus block with 0.5% levobupivacaine and 0.5% ropivacaine for upper limb surgery.
Choon Kyu Cho, Joong Yeoun Kim, Sung Mee Jung, Hee Uk Kwon, Po Soon Kang, Chul Woung Kim, Jeong Uk Han, Chun Woo Yang
1Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea. everycw@naver.com
2Department of Preventive Medicine, College of Medicine, Konyang University, Daejeon, Korea.
3Department of Anesthesiology and Pain Medicine, College of Medicine, Inha University, Incheon, Korea.
Abstract
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.
Key Words: Infraclavicular brachial plexus block; Levobupivacaine; Ropivacaine; Upper limb surgery


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