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Paediatric anaesthesia · Jun 2003
Randomized Controlled Trial Comparative Study Clinical TrialComparison of 0.2% ropivacaine and 0.25% bupivacaine for axillary brachial plexus blocks in paediatric hand surgery.
- K L Thornton, M D Sacks, R Hall, and R Bingham.
- Department of Anaesthesia, Frenchay Hospital, Frenchay, UK.
- Paediatr Anaesth. 2003 Jun 1; 13 (5): 409-12.
BackgroundThe purpose of this study was to compare the use of ropivacaine 0.2% with bupivacaine 0.25% for axillary brachial plexus block in children undergoing hand surgery.MethodsIn a double-blind, randomized study, 35 children undergoing hand surgery received axillary brachial plexus blocks with 0.5 ml.kg-1 of either 0.2% ropivacaine or 0.25% bupivacaine. Pain scores were noted at 0, 3, 6, 12 and 24 h after surgery. The time to first dose of codeine phosphate and the total doses of all analgesics given were recorded.ResultsThere was no significant difference between the two groups in pain scores, the time to first dose of codeine phosphate or in analgesic requirements in the first 24 h.ConclusionsRopivacaine 0.2% is as effective as bupivacaine 0.25% for axillary brachial plexus blocks in children undergoing hand surgery.
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