Key result
Axillary brachial plexus block with 20 ml of 0.75% ropivacaine provided a mean sensory block onset of 4.53 minutes and duration of 491 minutes, with no side effects observed.
Why the study?
Ropivacaine emerged as a possible replacement for bupivacaine without undesirable toxic effects, motivating an assessment of block characteristics and side effects of 0.75% ropivacaine in axillary brachial plexus block.
Does 0.75% ropivacaine provide effective block characteristics and safety in patients undergoing elective forearm surgery?
Does 0.75% ropivacaine provide effective block characteristics and safety in patients undergoing elective forearm surgery?
Ropivacaine 0.75% provides a long duration of sensory analgesia and early recovery of motor function without side effects for forearm surgeries.
Answers are grounded in this paper and cite their sources.
May support 0.75% ropivacaine for axillary blocks in forearm surgery; hypothesis-generating and requires randomized confirmation.
Brachial plexus block is a suitable alternative to general anaesthesia for patient undergoing upper extremity surgery. Ropivacaine the S-enantiomer emerged as a possible replacement of Bupivacaine without undesirable toxic effects.Therefore this study was conducted to assess the block characteristics and side effects of 0.75% ropivacaine in axillary brachial plexus block for forearm surgeries. This interventional study was carried out in 30 patients of ASA physical status I or II, aged 18 to 60 yrs undergoing elective surgery u nder axillary brachial plexus block with 20 ml of 0.75 % Ropivacaine using ultrasound and nerve stimulator. The mean onset time of sensory block was 4.53 ± 1.18 minutes and duration of sensory block was 491.00 ± 57.45 minutes. The mean onset time of motor block was 9.17 ± 1.39 minutes and duration of motor block was 452.50 ± 52.34 minutes. The mean time for rescue analgesia or total analgesic effect was 569.47 ± 88.46 minutes. No patients developed any side effects. The result of this study concluded that Ropivacaine is a safe drug providing longer duration of sensory analgesic effect and early recovery of motor function with good operating conditions for forearm surgeries under brachial blexus block.
No takes yet. Share an insight, caveat, or question.
Acharya et al. (2020) studied Forearm surgery (n=30). Ropivacaine was evaluated on Onset time of sensory block (minutes) (95% CI 4.11-4.95). Axillary brachial plexus block with 20 ml of 0.75% ropivacaine provided a mean sensory block onset of 4.53 minutes and duration of 491 minutes, with no side effects observed.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: