Journal of AdvancedMedical and Dental Sciences Research

Background: Supraclavicular brachial plexus block is used as regional anaesthesia technique for upper limb surgery. Bupivacaine is most commonly used local anaesthetic in peripheral nerve blocks but it is cardiotoxic. Levobupivacaine has less cardiodepressor activity.  The present study was conducted to compare the bupivacaine and levobupivacaine in supraclavicular plexus block. Material and methods: The present prospective clinical study was carried out in 56 patients of ASA grade I and II of either sex, aged 18-60 yrs. Before commencement of study, ethical committee approval and written informed consent was obtained. Patients were randomly divided into 2 groups:- Group A who received brachial plexus block with 30 ml of 0.5% Bupivacaine & Group B who received brachial plexus block with 30 ml of 0.5 % Levobupivacaine. A detailed physical and systemic examination was done and thorough history of all patients obtained. 30 ml of 0.5% solution of bupivacaine or 30 ml of 0.5% solution of levobupivacaine was infiltrated with repeated aspirations every 6.5-7.0 ml to avoid intravascular injection. Data were analyzed using SPSS version 22 for Windows &P < 0.05 was considered as statistically significant. Results: Results of our study shows that mean age of Group B was more than Group A. Onset of sensory block for Group B (17.56±1.8) was more than Group A. Onset of motor block for Group B (22.78.±1.8) was more than Group A. Conclusion: The results of our study shows that Levobupivacaine proves to be a better alternative to bupivacaine in supraclavicular brachial plexus block.
Keywords: Levobupivacaine, bupivacaine, supraclavicular brachial plexus block.

Received: 26 June, 2019                             Revised:  10 July 2019                              Accepted: 12 July 2019

Corresponding Author: Dr. Brighunath Singh, Associate Professor, Department of Anaesthesia, Autonomous state Medical College, Ayodhya
               
This article may be cited as: Agarwal P, Singh BN. Comparative evaluation of Bupivacaine and Levobupivacaine in Supraclavicular brachial plexus block. J Adv Med Dent Scie Res 2019;7(8): 201-203.