Ropivacaine and bupivacaine for brachial plexus block were observed effect of limb replantation.doc

 PAGE \* MERGEFORMAT 5 Ropivacaine and bupivacaine for brachial plexus block were observed effect of limb replantation [Keywords:] ropivacaine, bupivacaine, limb replantation, Ropivacaine brachial plexus block is a unique new type of long-acting local anesthetics, a quantitative and qualitative ways similar with bupivacaine, but its cardiac toxicity, can produce sensory and motor nerve block separation, observed in favor of surgery and early postoperative events. We will ropivacaine limb to obtain satisfactory results. 1 Materials and Methods 1.1 General information on 200 cases randomly selected ASA ~ grade adult patients, male 148 cases, 52 females, aged 18 to 71 years old, weighing 45 ~ 74 kg. Line emergency diagnosis of limb surgery, including 146 cases of finger, wrist 32 cases, the forearm in 22 cases, no severe preoperative respiratory and circulatory system diseases and serious liver and kidney disease. 1.2 200 cases of anesthesia were randomly divided into A, B two groups of 100 cases. The two groups were age, sex, weight, disease and surgery time were not significantly different (Pgt; 0.05). Anesthetic drugs were 0.12% ropivacaine with 20 ml (A group) and 0.375% bupivacaine 20 ml (B group). intramuscular injection 30 min before surgery phenobarbital 0.1 g, taken into the operating room flat supine brachial plexus block by the person responsible for operation (the operator is not clear which group). to take the affected side for interscalene brachial plexus block, injection of local anesthetic 20 m1, until after the onset, according to need intravenous adjuvant droperidol 2.5 mg and fentanyl 0.05 mg. 1.3 OUTCOME MEASURES onset time, block full time. Anesthetic effect using the pain visual analogue scale to judge (VAS): excellent, painless during the operation, quiet, the other with and without additional adjuvant. Good, surgery has referred pain, additional adjuvant other single, poor, incomplete analgesia surgery, need several addi