Ropivacaine 0.375% vs. 0.75% with prilocaine for intermediate cervical plexus block for carotid endarterectomy: A randomised trial

European Journal of Anaesthesiology
Andreas KoköferPeter Gerner

Abstract

Carotid endarterectomy is widely performed under regional anaesthesia. Ultrasound guidance is increasingly used in many regional anaesthetic procedures to improve safety and efficacy, and because it can reduce the amount of local anaesthetic required. Despite this, an ideal approach and dosing regimen for cervical plexus block remain elusive. The aim of this study was to compare two different concentrations of ropivacaine in terms of analgesic adequacy, haemodynamic effects and plasma concentration using an ultrasound-guided triple approach for intermediate cervical plexus blockade. A randomised, placebo-controlled, blinded study. University Clinic Salzburg, Department of Anaesthesiology, Perioperative Medicine and Intensive Care, Paracelsus Medical University, Salzburg, Austria, from 16 November 2012 to 17 September 2013. Forty-six patients prospectively randomised to receive ultrasound-guided intermediate cervical block with either 20 ml ropivacaine 0.75% or 20 ml ropivacaine 0.375% each with 20 ml prilocaine 1%. After subcutaneous infiltration, blocks were performed using ultrasound-guided infiltration below the sternocleidomastoid muscle, and ultrasound-guided infiltration of the carotid sheath. Ropivacaine and prilocaine p...Continue Reading

References

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Citations

Jul 5, 2018·Korean journal of anesthesiology·Jin-Soo KimSook Young Lee
Mar 17, 2020·Dento Maxillo Facial Radiology·Theodosios SaranteasChristos Perisanidis
Jul 6, 2020·Der Anaesthesist·T SteinfeldtT Wiesmann
Jan 27, 2019·Drugs & Aging·Carole LinBan C H Tsui
Oct 28, 2019·Indian Journal of Anaesthesia·Amit NagpalAdarsh C Swami
Oct 2, 2019·Experimental and Therapeutic Medicine·Fang-Fang ZhangXiao-Wen Guo

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Clinical Trials Mentioned

NCT01759940

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Stata
SPSS

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