Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial
Background: Both ropivacaine and levobupivacaine have been used for the peripheral block in children for surgical pain. The present study is aimed to compare the effectiveness of 0.375% levobupivacaine and 0.375% ropivacaine in the infraorbital block for cleft palate surgery. Patients and Methods: E...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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Series: | Bali Journal of Anesthesiology |
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Online Access: | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=3;spage=115;epage=117;aulast=Adabala |
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author | Vijay Adabala Ajit Kumar Shipra Tandon Debarati Chattopadhyay Eswar Prasad |
author_facet | Vijay Adabala Ajit Kumar Shipra Tandon Debarati Chattopadhyay Eswar Prasad |
author_sort | Vijay Adabala |
collection | DOAJ |
description | Background: Both ropivacaine and levobupivacaine have been used for the peripheral block in children for surgical pain. The present study is aimed to compare the effectiveness of 0.375% levobupivacaine and 0.375% ropivacaine in the infraorbital block for cleft palate surgery. Patients and Methods: Eighty patients between the age group of 2–12 years planned for elective surgery for cleft palate were included in the study. The solution for Group L was a mixture of 0.375% levobupivacaine and the solution for Group R was a mixture of 0.375% ropivacaine. Infraorbital nerve blocks were conducted by landmark-guided technique. We used the Verbal Rating Scale (VRS) to assess the postoperative pain. Results: There was a statistically significant difference in the time interval until the first request for pain medication was made by the participants in the two groups (10.6 [8.4, 12.8] vs. 8.5 [6.1, 10.8] h, P = 0.002). There were differences in pain scores calculated at regular intervals after surgery comparing the two groups (2.7 ± 0.3 vs. 3.6 ± 0.3, P = 0.01). There were differences in the need for rescue analgesics comparing the two groups. Conclusion: The analgesic effects of levobupivacaine are statistically better than ropivacaine in the infraorbital block in children who underwent cleft palate surgery. |
first_indexed | 2024-12-14T22:19:12Z |
format | Article |
id | doaj.art-d7600abae47c46cf8564acbb20334068 |
institution | Directory Open Access Journal |
issn | 2549-2276 |
language | English |
last_indexed | 2024-12-14T22:19:12Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Bali Journal of Anesthesiology |
spelling | doaj.art-d7600abae47c46cf8564acbb203340682022-12-21T22:45:32ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762020-01-014311511710.4103/BJOA.BJOA_15_20Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trialVijay AdabalaAjit KumarShipra TandonDebarati ChattopadhyayEswar PrasadBackground: Both ropivacaine and levobupivacaine have been used for the peripheral block in children for surgical pain. The present study is aimed to compare the effectiveness of 0.375% levobupivacaine and 0.375% ropivacaine in the infraorbital block for cleft palate surgery. Patients and Methods: Eighty patients between the age group of 2–12 years planned for elective surgery for cleft palate were included in the study. The solution for Group L was a mixture of 0.375% levobupivacaine and the solution for Group R was a mixture of 0.375% ropivacaine. Infraorbital nerve blocks were conducted by landmark-guided technique. We used the Verbal Rating Scale (VRS) to assess the postoperative pain. Results: There was a statistically significant difference in the time interval until the first request for pain medication was made by the participants in the two groups (10.6 [8.4, 12.8] vs. 8.5 [6.1, 10.8] h, P = 0.002). There were differences in pain scores calculated at regular intervals after surgery comparing the two groups (2.7 ± 0.3 vs. 3.6 ± 0.3, P = 0.01). There were differences in the need for rescue analgesics comparing the two groups. Conclusion: The analgesic effects of levobupivacaine are statistically better than ropivacaine in the infraorbital block in children who underwent cleft palate surgery.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=3;spage=115;epage=117;aulast=Adabalalevobupivacainepainregional anesthesiaropivacaine |
spellingShingle | Vijay Adabala Ajit Kumar Shipra Tandon Debarati Chattopadhyay Eswar Prasad Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial Bali Journal of Anesthesiology levobupivacaine pain regional anesthesia ropivacaine |
title | Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial |
title_full | Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial |
title_fullStr | Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial |
title_full_unstemmed | Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial |
title_short | Evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs. Ropivacaine after cleft palate surgery: A double-blinded randomized trial |
title_sort | evaluation of postoperative analgesic effects of infraorbital nerve block by levobupivacaine vs ropivacaine after cleft palate surgery a double blinded randomized trial |
topic | levobupivacaine pain regional anesthesia ropivacaine |
url | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=3;spage=115;epage=117;aulast=Adabala |
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