19 Harley St, London, W1G 9QJ, UK

Posterior lumbar plexus block in postoperative analgesia for total hip arthroplasty: a comparative study between 0.5% Bupivacaine with Epinephrine and 0.5% Ropivacaine

BACKGROUND AND OBJECTIVES: Posterior lumbar plexus block promotes effective postoperative analgesia in total knee arthroplasty. Ropivacaine and bupivacaine do not show differences in analgesic efficacy when used in different peripheral nerve blocks. The objective of this study was to compare the efficacy of postoperative analgesia resulting from the administration of a single dose of 0.5% bupivacaine or 0.5% ropivacaine in posterior lumbar plexus block for total hip arthroplasty. METHODS: Thirty-seven patients were randomly divided in two groups according to the local anesthetic used: Group B – 0.5% bupivacaine with 1:200,000 epinephrine; or group R – 0.5% ropivacaine. During the postoperative period, pain scores and morphine consumption in patient controlled analgesia were compared between groups. Bleeding during surgery and the incidence of side effects and complications were also compared. RESULTS: Although pain scores were lower in Group R 8 hours, 12 hours, and 24 hours after the blockade, these differences were not clinically significant. Multiple linear regression identified the local anesthetic as an independent variable. Differences in morphine consumption, intraoperative bleeding, and the incidence of complications and side effects were not observed between both groups. CONCLUSIONS: 0.5% Bupivacaine and 0.5% ropivacaine produced effective and prolonged postoperative pain relief after total hip arthroplasty, without clinical differences, when equivalent doses were administered for posterior lumbar plexus block

Keywords : administration & dosage,Amides,Analgesia,Anesthetics,Local,Arthroplasty,Arthroplasty,Replacement,Hip,Bupivacaine,complications,Double-Blind Method,Epinephrine,Female,Humans,Incidence,Knee,Lumbosacral Plexus,Male,methods,Middle Aged,Morphine,Nerve Block,Pain,Pain,Postoperative,Postoperative Period,prevention & control,Ropivacaine,surgery,, Lumbar,Plexus,Block,Postoperative, cervical trigger points

Date of Publication : 2009 May

Authors : Duarte LT;Paes FC;Fernandes MC;Saraiva RA;

Organisation : Departamento de Anestesiologia Rede SARAH de Hospitais de Reabilitacao SMHS 501, Conjunto A, Asa Sul70330-150 Brasilia DF. leonardo@sarah.br

Journal of Publication : Rev Bras Anestesiol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19488540

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Posterior lumbar plexus block in postoperative analgesia for total hip arthroplasty a comparative study between 05% Bupivacaine with Epinephrine and 05% Ropivacaine | Bac neck brace

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810