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A study comparing mixture of local anaesthetic agents lignocaine and ropivacaine versus sequential lignocaine followed by ropivacaine in patients undergoing surgery on hands and arms under regional anaesthesia.

Completed
Conditions
Acquired deformity of musculoskeletal system, unspecified,
Registration Number
CTRI/2020/03/024013
Lead Sponsor
Mridul Dhar
Brief Summary

Studies have beenconducted on use of ropivacaine, bupivacaine and lignocaine in variouscombinations in various nerve blocks and neuraxial blocks. There is no clearconsensus on appropriate use of mixtures of these agents specially in brachialplexus nerve blocks. Ropivacaine is an established safer, equally efficaciousalternative to bupivacaine. We intend to compare use of a short acting druglignocaine and long acting drug Ropivacaine as a mixture versus undilutedsequential injections on block characteristics of ultrasound guided nerve blockfor upper limb surgeries.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
66
Inclusion Criteria

Weighing more than 60 kg, planned for unilateral upper limb surgery.

Exclusion Criteria

Patient refusal, coagulation or bleeding disorders, local site infection, any nerve injury/ neuropraxia/ paralysis, history of allergy or anaphylaxis to ropivacaine or lignocaine, pregnant females and block failure due to technical reasons.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Percentage of patients with complete sensory block in all 4- nerve areas (musculo-cutaneous, median, radial, ulnar) at 10 minutes post injection.Percentage of patients with complete sensory block in all 4- nerve areas (musculo-cutaneous, median, radial, ulnar) at 10 minutes post injection.
Secondary Outcome Measures
NameTimeMethod
Time to onset of first sensory block, time to onset of complete sensory block, time to complete motor block, duration of analgesia, procedure time, block failures, duration of sensory block, duration of motor block, and complication rates ( last three reading will be observed in post-anaesthesia care unit every one hour and in ward every 2 hours by in-charge nurse or resident.Time to onset of first sensory block, time to onset of complete sensory block, time to complete motor block, duration of analgesia, procedure time, block failures, duration of sensory block, duration of motor block, and complication rates ( last three reading will be observed in post-anaesthesia care unit every one hour and in ward every 2 hours by in-charge nurse or resident.

Trial Locations

Locations (1)

AIIMS Rishikesh, Department of Anaesthesiology

🇮🇳

Dehradun, UTTARANCHAL, India

AIIMS Rishikesh, Department of Anaesthesiology
🇮🇳Dehradun, UTTARANCHAL, India
Dr Mridul Dhar
Principal investigator
9717778374
mriduldhar@hotmail.com

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