0.5%布比卡因与0.5%罗比卡因用于ASA II、III型患者锁骨上臂丛阻滞(锁骨下血管周围入路)的比较研究

Natarajan Pooranan, C. Dhanasekaran
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引用次数: 0

摘要

周围神经阻滞因其在缓解术后疼痛、缩短患者恢复时间、避免全身麻醉的风险和不良反应等方面的作用而在临床实践中变得越来越重要。布比卡因是长效局部麻醉剂。由于其作用持续时间长,并且与运动阻滞相比,它具有高质量的感觉阻滞,是周围神经阻滞中最常用的局部麻醉。罗哌卡因是一种较新的长效局部麻醉剂,其用于周围神经阻滞的神经元阻断电位似乎等于或优于布比卡因。研究表明,它比布比卡因有更大的安全边际。因此,本文试图通过研究比较布比卡因与罗比卡因在ASA ii和iii型患者锁骨上臂丛阻滞中的作用。
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A comparative study of Bupivacaine 0.5% versus Ropivacaine 0.5% for supraclavicular brachial plexus block (subclavian perivascular approach only) in ASA II,III patients
Peripheral nerve blocks have become important in clinical practice because of their role in post-operative pain relief, shortening of patient recovery time & avoiding risks and adverse effects of general anaesthesia. Bupivacaine is a long acting local anaesthetic. Due to its long duration of action and combined with its high quality sensory blockade compared to motor blockade it has been the most commonly used local anaesthetic for peripheral nerve blocks. Ropivacaine is a newer, long acting local anaesthetic whose neuronal blocking potential used in peripheral nerve blockade seems to be equal or superior to bupivacaine. Studies show that it has significantly greater safety margin over bupivacaine. Hence here is an attempt through the study to compare bupivacaine with ropivacaine in supraclavicular brachial plexus block in ASA II&III patients.
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