A Comparative Study on the Quality of Blockade by Bupivacaine and Ropivacaine for Supraclavicular Block

Introduction: Bupivacaine and Ropivacaine are the two mostfrequently used local anesthetics for brachial plexus blocks.There are many studies comparing the onset, duration andrecovery of the patient after the anesthesia, but not manyof these studies focus on the quality of anesthesia in termsof requirement of additional anesthesia intraoperatively.Therefore, this study aimed to assess the quality of anesthesiaprovided by the reduced concentration of both the anestheticagents.Material and Method: The study was carried out on patientsin the age group of 18 to 60 years with ASA grade I and II,undergoing elective operative procedures for upper limbsurgeries (i.e. elbow, forearm and hand surgeries). They wererandomly divided in Group I (Bupivacaine) and Group II(Ropivacaine). The quality of anesthesia was assessed.Results: While only 9 patients in Group II required additionalanesthesia (1 case: general anesthesia), 20 patients in GroupI required additional anesthesia (5 cases: general anesthesia).Rest all the parameters were comparable.Conclusion: Both the drugs provided effective anesthesia inlow concentrations. However, the quality of anesthesia wasbetter with Ropivacaine compared to Bupivacaine.

Sevoflurane inhalation anesthesia with propofol intravenous anesthesia on blood flow in patients with pediatric hernia operation and anesthesia quality dynamics / 中国生化药物杂志

Objective To observe the contrast sevoflurane anesthesia and propofol intravenous anesthesia in children hernia surgery anesthesia on blood flow dynamics in children to assess the quality of anesthesia, anesthesia program aims for the future choose to provide important reference for basis . Methods The surgical treatment of pediatric hernia patients from January 2012 to June 2016 was prospectively selected as the study group, and the rats were divided into two groups by random drawing method. Results There were other children point and T1 relatively SBP, DBP were significantly lower (P<0.05), the observation group were significantly lower than the control group (P<0.05), the control group of children with T2, T3 compared with T1 point HR significantly increased (P<0.05). Conclusion Pediatric hernia surgery using laryngeal mask sevoflurane anesthesia exact effect, maintaining hemodynamic stability, safety, and can be widely used in clinical.