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To compare the extent of sensory and motor block with two different nerve stimulation techniques in axillary blocks.
To compare analgesic efficacy and intensity of motor block with continuous infusions of ropivacaine, bupivacaine, and levobupivacaine in combination with fentanyl for labor epidural analgesia.
About 90 100% parturients had complete motor block, with no significant change in different groups.
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Conclusion: All 3 investigated local anesthetics were found to be clinically comparable despite the slight reduction of early postoperative motor block associated with the use of ropivacaine.
After sitting for 10 min, the level of sensory block was tested with the alcohol swab and the level of a motor block was assessed with the Bromage score.
Echevarria et al. [ 18] investigated the influence of CSF composition on sensory and motor block in patients with diabetes mellitus under spinal anesthesia.
The motor block was evaluated with the Modified Bromage Score (0 = no paralysis the patient can fully flex the foot and knee, 1 = the patient cannot raise a straight leg, the knee and foot can be moved, 2 = the knee cannot be brought to flexion, only the foot can be moved, 3 = foot joints or toes cannot be moved, total paralysis).
The use of ropivacaine (P =.02), but not levo-bupivacaine (P =.18), was found to be associated with less motor block during the first postoperative hour compared with racemic bupivacaine.
Motor Block Level Was Evaluated with Bromage Scale.
When comparing the groups with equal dose, there is a tendency for a longer duration for sensory and motor block in the group with higher concentration and smaller volume.
Sensory block level was tested using pinprick tests and motor block level was evaluated with Modified Bromage scale (scale 0 = full flexion of foot, knee and hip, ie, no motor block; scale 1 = full flexion of foot and knee, unable to hip flexion; scale 2 = full flexion of foot, unable to knee and hip flexion; scale 3 = total motor block; unable to foot, knee, and hip flexion).
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