Comparison of equal doses of bupivacaine and levobupivacaine in terms of efficiency in lateral approach to popliteal sciatic nerve blocks: A randomized controlled trial
Kuwait Medical Journal, cilt.53, sa.2, ss.150-156, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 2
- Basım Tarihi: 2021
- Dergi Adı: Kuwait Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
- Sayfa Sayıları: ss.150-156
- Anahtar Kelimeler: block, bupivacaine, levobupivacaine, nerve
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: We aimed to compare equal doses of bupivacaine and levobupivacaine in terms of efficiency, block quality and side effects on lateral approach to popliteal block in patients who would undergo foot/ankle surgery. Design: Prospective study Setting: Goztepe Training and Research Hospital Subjects: Thirty patients who were planned for foot/ankle surgery Intervention: After the block was performed, mean blood pressure, heart rate and peripheral oxygen saturation values were recorded at the 1st,15th, 30th and 45th minute and at the end of the operation. Sensory block formation time was tested with pin-prick test in five minute intervals after completion of block. Time to motor and sensory block durations and time for the first analgesic utilization were recorded. Main outcome measure: Time to complete sensory blockade/ time to complete block duration and administration time of the first analgesic of patients Results: There were no differences in mean time to complete sensory blockade/time to complete block duration and first analgesic administration times of patients. Total fentanyl doses used in Group L and Group B were 40±38.73 µg and 43.33±37.16 µg, respectively. Sensory block quality formed in dermatome area of sciatic nerve was similar in both groups. Group B was found to be superior in both plantar flexion and dorsal flexion evaluations. Conclusion: It was concluded that adequate, qualified and safe block could be achieved with bupivacaine and levobupivacaine in lateral popliteal blocks. These two drugs provided pain control after the operation and they had no significant difference with regard to side effects.