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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Main Authors: Vijay Adabala, Ajit Kumar, Shipra Tandon, Debarati Chattopadhyay, Eswar Prasad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Bali Journal of Anesthesiology
Subjects:
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.
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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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