Ropivacaine and levobupivacaine for interscalene brachial plexus block anesthesia Effect.doc

 PAGE \* MERGEFORMAT 9 Ropivacaine and levobupivacaine for interscalene brachial plexus block anesthesia Effect [Abstract] Objective with the same concentration of levobupivacaine and ropivacaine interscalene brachial plexus block, to observe the levobupivacaine and ropivacaine brachial plexus block anesthesia on the effect of and postoperative analgesia. Methods 60 patients required surgery for treatment of upper limb disorders in hospitalized patients were randomly divided into two groups, 30 patients in each group: A group of ropivacaine 0.5%, B 0.5% L-bupivacaine group because, according to 0.4mB kg-1 body weight injection of local anesthetic, using the same two groups were compared after the anesthesia anesthetic effect. The results of sensory block onset time, duration of sensory block, motor block onset time there was no significant difference; sensory block regression time was significantly longer than A B group; motor block duration, regression time was significantly shorter than A group B group; A group of motor block level and above 60%, B group 80%. Conclusion L bupivacaine and ropivacaine are long-term safety of local anesthetic, both have their advantages for different surgical needs, choose a different anesthetics. levobupivacaine can provide a more satisfactory postoperative analgesia. [Keywords:] levobupivacaine; ropivacaine; brachial plexus block; postoperative analgesia Brachial plexus block anesthesia is the main method of upper limb surgery, levobupivacaine (1evobupivaeaine) and ropivacaine (opivacaine) for new long-acting amide local anesthetics, postoperative pain relief can maintain a longer-term effects, with on the central nervous system and cardiovascular system toxicity and low. ropivacaine has been widely used in clinical and domestic research currently few reports of levobupivacaine, results show that as a pure S-enantiomer of the left Rotary bupivacaine, its the same anesthetic effectiveness of basic and bupivacaine [1]