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Only two studies compared racemic bupivacaine and levobupivacaine 17,21 while the other studies in the literature compared levobupivacaine and btaquial 19,20 or evaluated different volumes, doses, concentrations, and routes of administration of levobupivacaine 18, Anaesth Intensive Care, ; The site that triggered muscular response to a stimulus equal to or lower than 0.
Studies on bupivacaine isomers have shown reduced cardiovascular toxicity of its levorotatory form levobupivacaine.
However, brachial plexus blockade can set a potential place for absorption of local anesthetics and supracavicular development of systemic toxicity The objective of this study was to demonstrate the anesthetic efficacy of levobupivacaine in brachial plexus block, supraclavichlar the perivascular subclavian approach, by comparing it to racemic bupivacaine.
The brachial plexus is a potential territory for absorption of local anesthetics.
However, the anesthetic efficacy sensorial and motor blockades of levobupivacaine in neuroaxis blocks has been debated. Eur J Anaesthesiol, ; A double-blind, randomised controlled trial.
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Supraclavicular brachial plexus block: The use of levobupivacaine in brachial plexus block seems promising considering the lower toxicity and the need of large volumes. Patients were assigned according to an increasing numeric sequence that classified the local anesthetic provided by the laboratory.
There was a problem providing the content you requested Brachial plexus block has long been considered a safe method when proper technique is observed, which includes monitoring and patient selection. Subclavian perivascular block is widely used in several upper limb procedures.
On the day before the surgery, patients were informed about the study and signed an informed consent. RESULTS Significant differences in anthropometric data and physical status were not observed between both groups Table Idemonstrating that the study groups were comparable.
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