COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details.,, Mob. 8826373757, 8826859373, 9910947804

Article view: 49

Article download: 36

Indian Journal of Clinical Anaesthesia

A clinical study of effects of 30 ml of 1.5% lidocaine with adrenaline and 30 ml of 0.333% levobupivacaine for axillary block using nerve stimulation technique

Full Text PDF Share on Facebook Share on Twitter

Research Article

Author Details : D R Sushma, V Y Srinivas*, Jyothsna Gopinathan N K

Volume : 7, Issue : 1, Year : 2020

Article Page : 77-82

Suggest article by email


Introduction and Objective: Axillary block is most commonly used regional anaesthetic technique for
surgeries of forearm, wrist and hand surgeries. Various local anaesthetic been used for axillary block,
among them levobupivacaine has gained more interest as it prolong the duration of analgesia with reduced
cardiovascular and central nervous system toxicity. This study is done to compare the effects of 1.5%
lignocaine with 1:300000 adrenaline with the 0.333% levobupivacaine in axillary brachial plexus block
and the quality of postoperative analgesia.
Materials and Methods: After obtaining ethical committee clearance and written informed consent, 60
patients of ASA class I and II, aged between 18-60 years, posted for elective upper limb surgeries, were
randomly assigned to 2 groups of 30 in each group A and group B. Group A to receive 30ml of 1.5%
lidocaine with adrenaline 1 in 300000 and group B to receive 30ml of 0.333% levobupivacaine. Through
perivascular approach axillary brachial plexus block given using peripheral nerve stimulator. Onset and
duration of sensory and motor block, quality of block, duration of analgesia and adverse effects if any we
re evaluated.
Result: Levobupivacaine had slower onset of actions but statistically significant increased duration of
sensory and motor blockade, prolonged duration of analgesia were obtained in levobupivacaine group,
with no haemodynamic variations and adverse effects in both groups.
Conclusion: Levobupivacaine produced prolonged duration of analgesia with reduced toxic potential thus
providing greater margin of clinical safety.

Keywords: Axillary brachial plexus block, Lidocaine with adrenaline, Levobupivacaine.

Doi : 10.18231/j.ijca.2020.014

How to cite : Sushma D R, Srinivas V Y, Jyothsna Gopinathan N K, A clinical study of effects of 30 ml of 1.5% lidocaine with adrenaline and 30 ml of 0.333% levobupivacaine for axillary block using nerve stimulation technique. Indian J Clin Anaesth 2020;7(1):77-82

Copyright © 2020 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (