Gómez RJP, Soto RB, Gordillo PA, Marín RC, Juárez HE

Language: Spanish
References: 18
Page: 61-64
PDF size: 70.63 Kb.

ABSTRACT

Objective. To compare postoperatvie analgesia effectiveness with the administration of a local anesthetic by regional anesthesia technique in the surgery of thoracic member. Material and methods. We compared the effectiveness of the local administration of two local anesthetics: bupivacaine 5% and ropivacaine 7.5% in 30 patients 50% female , 50% male, their age from 18 to 71 years old, and with an ASA classification from I to 3. These patients were divided in two groups (the control group with bupivacaine, and the experimental group with ropivacaine). Statistic analysis was performed with the collected data by independent groups, using the U Man Whitney test with an alpha value less than 0.5. Results. the latency of motor and sensitive blockade was similar in both groups; although motor blockade was prolonged in the ropivacaine group, an average of 11±2.1 hours, versus ropivacaine group with 3± 0.6 hours. Postquirurgical Postoperative analgesia was of 8 ±2.7 hours in the bupivacaine group versus ropivacaine group of 18±3.1 hours (p ‹.001). Conclusions. Although both local anesthetics are a good option, ropivacaina provides a better postoperative analgesia in our patientes.

REFERENCES

1. Barash Paul G. Anestesia clínica,3ª. ed., l999, Ed.McGraw-Hill Interamericana; Vol. 2 :120l-1203, 1562.

2. Bernhard Urbanek, Kimberger Oliver. Onset time, quality of blockade, and duration of toree in one blocks with levobupivacaina and bupivacaina, Anesthesia- Analgesia l997; 3 : 888.

3. Bertini L. 0.75% and 0.5% ropivacaine for axilary brachial plexus block: a clinical comparacion with 0.5% bupivacain. Reg Anest Pain Med l999; 24 :514-518

4. Brian M. Infusion continua infraclavicular perineural con clonidina y ropivacaina comparado con ropivacaina sola: un estudio aleatorio a doble ciego; Anesthesia – Analgesia 2003; 97 : 706-712

5. Casati Andrea, et al, Interescalene brachial plexus anhestesia and analgesia for open shoulder surgery: a rabdomized, double- blinded comparison between levobupivacaina and ropivacaina, Anesthesia-Analgesia 2003; 96 : 253-259.

6. Cuenca D. Estudio comparativo del comportamiento clínico de anestésicos locales en el bloqueo supraclavicular. Revista Mexicana de Anestesióloga 2001; 2 :1-5

7. Erlacher W.,Schuschnig C. et al. The effects of clonidine on ropivacaine 0.75% in axillary perivascular brachial plexus block. Acta Anesthesiol Scand 2000; 44:53-57

8. Esteves S. cols. Duración y calidad de la analgesia post operatoria después del bloqueo de plexo braquial para cirugía de hombro: ropivacaina 0.5% frente a ropivacaina 0.5% con clonidina. Revista Española de Anestesiología y Reanimación 2002; 49 : 302-305.

9. González V., Ropivacaina en el bloqueo de plexo braquial, Revista Salud Publica y Nutrición 2002 ; 2.

10. Jankovich Danilo, Wells Cristopher. Bloqueos regionales, 2ª.edición 2003. Ed.Prado; 58-80.

11. Lazaro Carlos, Baños ALADI Joseph, Valoración integral del dolor post operatorio, Programa de Actualización Continua Anestesiología, libro 8, la ed., Ed. Ínter sistemas.

12. KnudsenK, Beckman SM., et al. Central and Cardiovascular effects of I.V infusion of ropivacaina, bupivacaina, and placebo in volunteers. Br. J Anaesth l997 ; 78 : 507- 514.

13. Morrison SG, Dominguez JJ. A Comparison of the electrocardiographic cardiotoxic effects of racemic bupivacaine, levobupivacaine, and ropivacaine in anesthetized swine. Anesth Analg 2000; 90:1308-1314

14. Reiz S., Haggmark G. Cardiotoxity of ropivacaine- A new amida local anaesthesic. Acta Anaesth Scand; 1989 ; 33 : 93-98

15. Reiz S, Nath S. Cardiotoxity of LEA 103 – A new amide local anesthetic agent, Anesthesiology 1986; 65: 221

16. Velásquez Suárez Rubén, Plancarte Sánchez Ricardo, Analgesia preventiva, Programa de Actualización Continua Anestesiología, libro 4, 1ª ed., 2000,Ed. Ínter sistemas.

17. Whizar Lugo, et al. Nuevos anestésicos locales isomericos : Ropivacaina y Levobupivacaina, Revista Virtual Latinoamericana de Anestesia, Programa de Educación Continua en Anestesiologia, Feb 2003 ;1 .

18. Woodruf Roger. Dolor por cáncer, Medigraphics editors SA de CV ediciones en español para América Latina 1998.