Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Clinical Comparative Evaluation of Bupivacaine with Fentanyl and Ropivacaine with Fentanyl in Upper Limb Surgery Under Supraclavicular Brachial Block
R.M. Akshay, Janhavi , Sainath and Anup Nisti
Page: 578-583 | Received 28 Jun 2024, Published online: 22 Jul 2024
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Abstract
Peripheral nerve blocks have become important in clinical practice because of their role in post operative pain relief, decreases the need for postoperative analgesics, decreases the incidence of nausea, shortens the postanaesthesia care unit time and increases the patient satisfaction. To compare effects in terms of onset and duration of sensory and motor block, duration of analgesia of ropivacaine 0.5% with fentanyl and bupivacaine 0.5% with fentanyl in supraclavicular brachial plexus block. A prospective comparetive interventional study was conducted on 60 patients posted for upper limb surgeries in orthopaedics and surgery admitted at Basaveshwara teaching and general hospital attached to Mahadevappa Rampure medical college Kalburgi, NOV 2019 to April 2021. Mean onset of sensory blockade was delayed with 30ml 0.5% Inj. Bupivacaine+inj Fentanyl (1mcg/kg) [9.67(±1.56)] compared to 30 ml 0.5% Inj. Ropivacaine+inj Fentanyl(1mcg/kg). [7.3(±1.51)].Mean onset of motor block was was delayed Mean duration of total sensory block was prolonged. Mean duration of motor blockade was prolonged. Time to first rescue analgesia was earlier Post‐operative analgesia was longer in D group, as compared to F group. Addition of fentanyl with Bupivacaine (Group D) in supraclavicular brachial plexus block prolongs both onset and duration of sensory and motor blockade and post operative analgesia.
How to cite this article:
R.M. Akshay, Janhavi , Sainath and Anup Nisti. Clinical Comparative Evaluation of Bupivacaine with Fentanyl and Ropivacaine with Fentanyl in Upper Limb Surgery Under Supraclavicular Brachial Block.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.578.583
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.578.583