Axillary Block Application In Forearm Surgery And The Comparison Of Bupivacaine And Levobupivacaine Effıciency In Axillary Block

Mehmet Akif Altay; Nuray Altay; Cemil Ertürk

doi:10.58600/eurjther.2010-16-1-1292-arch

Authors

Mehmet Akif Altay Harran Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji AD
Nuray Altay Balıklıgöl Devlet Hastanesi Anesteziyoloji ve Reanimasyon Kliniği
Cemil Ertürk Harran Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji AD

DOI:

https://doi.org/10.58600/eurjther.2010-16-1-1292-arch

Keywords:

Axillary block, Bupivacaine, Levobupivacaine

Abstract

The aim of this study was to investigate the adequacy of axillary block with bupivacain and levobupivacain on forearm surgery. This study were performed in 45 patients, (ages of 18-55, ASA 1-11 risk group) underwent forearm surgery. 1n Group B (n=21) 0.5% bupivacain + fentanyl and in Group L (n=24) 0.5% levobupivacain + fentanyl were administered in 40 ml for axillary blockage. Sensorial and motor blockage levels were evaluated in process of surgery. All patients had adequate axillary block during surgical procedures. Sensorial and motor blockage levels and additional analgesic requirement were found similarly between the groups. We think that axillary blockage with bupivacain and levobupivacain is adequate in forearm surgery.

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References

Gürsoy S, Kaygusuz K, Aldemir B, Öztürk H, Kafalı H, Mimaroğlu C. 1ntraoperative and Postoperative Effects of Adding Ketamine to Lidocaine in Axillary Brachial Plexus Blockage. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi. 2005;27(4):147-52.

Brockway MS, Wildsmith JA. Axillary brachial plexus block: method of choice? Br J Anaesth. 1990;64(2):224- 31.

Janzen PR, Vipond AJ, Bush DJ, Hopkins PM. A comparison of 1% prilocaine with 0.5% ropivacaine for outpatient-based surgery under axillary brachial plexus block. Anesth Analg. 2001;93(1):187-91.

De Andres J, Sala-Blanch X. Peripheral nerve stimulation in the practice of brachial plexus anesthesia: a review. Reg Anesth Pain Med. 2001;26(5):478-83.

Memiş D,Turan A, Karamanlıoğlu B, Canbaz S, Akalın E, Günday 1. Brakiyal pleksus bloğunda bupivakaine eklenen sufentanilin etkinliği.T Klin Anest Reanim. 2004;2:17-21.

Murphy DB, McCartney CJ, Chan VW. Novel analgesic adjuncts for brachial plexus block: a sistemic review. Anesth Analg. 2000;90:1112-28.

Kleinman W. Spinal, epidural ve kaudal bloklar. 1n:Klinik anesteziyoloji, 3. baskı. Çeviri editörü: Tulunay M, Cuhruk H. Ankara: Güneş kitabevi; 2004.s. 253-82.

Kanai Y, Tateyama S, Nakamura T, Kasaba T, Takasaki M. Effects of levobupivacaine, bupivacaine, and ropivacaine on tail-flick response and motor function in rats following epidural or intrathecal administration. Reg Anesth Pain Med. 1999;24(5):444-52.

Huang YF, Pryor ME, Mather LE, Veering BT. Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep. Anesth Analg. 1998;86(4):797-804.

Morrison SG, Dominguez JJ, Frascarolo P, Reiz S. A comparison of the electrocardiographic cardiotoxic effects of racemic bupivacaine, levobupivacaine, and ropivacaine in anesthetized swine. Anesth Analg. 2000;90(6):1308- 14.

Soyuer F, Mirza M. Multipl skleroz'da alt ekstremite kas kuvveti ve denge arasındaki ilişki. Journal of Neurological Sciences (Turkish). 2006;23:(4)9;257-63.

Alkış N. Periferik sinir blokları. 1n:Klinik anesteziyoloji, 3. baskı. Çeviri editörü: Tulunay M, Cuhruk H. Ankara: Güneş kitabevi; 2004.s. 283-308.

Foster RH, Markham A. Levobupivacaine: a review of its pharmacology and use as a local anaesthetic. Drugs. 2000;59(3):551-79.

Mc Cellan KJ, Spencer CM. Levobupivacaine. Drugs. 1998;56:355-62.

McLeod GA, Burke D. Levobupivacaine. Anaesthesia Review. 2001;56(4):331-41.

Gristwood RW, Greaves JL. Levobupivacaine: a new safer long acting local anaesthetic agent. Expert Opin 1nvestig Drugs. 1999;8(6):861-76.

Bardsley H, Gristwood R, Watson N, Nimmo W. The local anaesthetic activity of levobupivacaine does not differ from racemic bupivacaine (Marcain): first clinical evidence. Expert Opin 1nvestig Drugs. 1997;6(12):1883- 5.

Luduena FP, Bogado EF, Tullar BF. Optical isomers of mepivacaine and bupivacaine. Arch Int Pharmacodyn Ther. 1972;200(2):359-69.

Kanai Y, Tateyama S, Nakamura T, Kasaba T, Takasaki M. Effects of levobupivacaine, bupivacaine, and ropivacaine on tail-flick response and motor function in rats following epidural or intrathecal administration. Reg Anesth Pain Med. 1999;24(5):444-52.

Crews JC, Weller RS, Moss J, James RL. Levobupivacaine for axillary brachial plexus block: a pharmacokinetic and clinical comparison in patients with normal renal function or renal disease. Anesth Analg. 2002;95(1):219-23.

Casati A, Borghi B, Fanelli G, Montone N, Rotini R, Fraschini G, et al. 1nterscalene brachial plexus anesthesia and analgesia for open shoulder surgery: a randomized, double-blinded comparison between levobupivacaine and ropivacaine. Anesth Analg. 2003;96(1):253-9.

Huang YF, Pryor ME, Mather LE, Veering BT. Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep. Anesth Analg. 1998;86(4):797-804.

Urmey WF, Stanton J. 1nability to consistently elicit a motor response following sensory paresthesia during interscalene block administration. Anesthesiology. 2002;96(3):552-4.