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Ropivacaine and levobupivacaine for bilateral selective ankle block in patients undergoing hallux valgus repair

PALMISANI, S. ; ARCIONI, R. ; DI BENEDETTO, P. ; DE BLASI, R. A. ; MERCIERI, M. ; RONCONI, P.

Acta anaesthesiologica Scandinavica, 2008-07, Vol.52 (6), p.841-844 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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Título:
Ropivacaine and levobupivacaine for bilateral selective ankle block in patients undergoing hallux valgus repair
Autor: PALMISANI, S. ; ARCIONI, R. ; DI BENEDETTO, P. ; DE BLASI, R. A. ; MERCIERI, M. ; RONCONI, P.
Assuntos: Amides - administration & dosage ; Amides - adverse effects ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Local - administration & dosage ; Anesthetics, Local - adverse effects ; Ankle block ; Biological and medical sciences ; Bupivacaine - administration & dosage ; Bupivacaine - adverse effects ; Bupivacaine - analogs & derivatives ; Double-Blind Method ; Elective Surgical Procedures - methods ; Female ; Hallux Valgus - surgery ; Humans ; levobupivacaine ; local anesthetic ; Male ; Medical sciences ; Middle Aged ; Nerve Block - methods ; Pain Measurement - statistics & numerical data ; Pain, Postoperative - drug therapy ; regional anesthesia ; ropivacaine ; Statistics, Nonparametric
É parte de: Acta anaesthesiologica Scandinavica, 2008-07, Vol.52 (6), p.841-844
Notas: ark:/67375/WNG-88D96LM9-W
istex:FE3AF34A7089548B984F758531F04A0BA313E224
ArticleID:AAS1630
Descrição: Background: A selective ankle block, blocking the tibial, deep and superficial peroneal nerves, can be used successfully for great toe surgery. No comparative information is available on selective ankle block using ropivacaine and levobupivacaine. Methods: We compared the onset time and success rate of a selective ankle block using low volumes (12 ml) of ropivacaine 10 mg/ml and levobupivacaine 7.5 mg/ml in 40 patients undergoing elective repair of bilateral hallux valgus. Each patient received an ankle block induced in one foot with ropivacaine and in the contralateral foot with levobupivacaine. Results: The success rate was higher [90% vs. 75%, hazard ratio (95% CI) 0.39 (0.23–0.64)] and anesthesia onset time was shorter (median, 10 vs. 20 min) after ropivacaine than after levobupivacaine. In successful ankle blocks, post‐operative pain was similar in the two groups. Conclusion: In this study, ropivacaine 10 mg/ml had a shorter anesthesia onset time and a higher success rate than levobupivacaine 7.5 mg/ml for selective ankle block.
Editor: Oxford, UK: Blackwell Publishing Ltd
Idioma: Inglês

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Ropivacaine and levobupivacaine for bilateral selective ankle block in patients undergoing hallux valgus repair

PALMISANI, S. ; ARCIONI, R. ; DI BENEDETTO, P. ; DE BLASI, R. A. ; MERCIERI, M. ; RONCONI, P.

Oxford, UK: Blackwell Publishing Ltd

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