20 Epidural Bupivacaine 0.5% and Ropivacaine 0.75% in Lower Limb Orthopedic Procedures ,a comparative study
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 31
Abstract
Background Epidural blockade is one of the most useful and versatile procedures in modern anaesthesiology. Bupivacaine a long acting amide local anaesthetic though widely used but associated with side effects like neuro and cardio toxicity. Ropivacaine, developed as a possible alternative to Bupivacaine, has lower lipophilicity hence associated with a decreased potential for neuro and cardiac toxicity . Aims Study was done to compare the haemodynamic variations , onset time and duration of sensory and motor block and complications if any of epidural anaesthesia produced by bupivacaine 0.5% and ropivacaine 0.75% in patients undergoing lower limb surgery. Methodology 60 patients, aged between 18-65 years, ASA I and II, undergoing various lower limb surgeries were randomly allocated in 2 groups of 30 each. The time for loss of pinprick at T10, intensity of motor block, duration of sensory and motor block and hemodynamic changes were assessedfor both the groups and compared . Results The time of onset and duration of sensory block was comparable for both the drugs. Bupivacaine 0.5% produced more intensity and longer duration of motor block than ropivacaine 0.75% Both the drugs were comparable with respect to hemodynamic changes. Conclusions Epidural ropivacaine 0.75% can be safely used as a possible alternative to bupivacaine 0.5% in lower limb orthopedic procedures.
Authors and Affiliations
Dr. Mona panchal
Keywords
Related Articles
- EP ID EP376031
- DOI -
- Views 97
- Downloads 0
7 EVALUATION OF DIFFERENT POINTS OF TRAGUS AS POSTERIOR REFERENCE POINT FOR CAMPER’S PLANE: A PHOTOGRAPHIC ANALYSIS.
Aim and objectives:The study was undertaken to determine the most reliable ala-tragus line as a guide for the orientation of the occlusal plane in edentulous subjects.Methodology:Photographic analysis was made for 50 a...
2 EARLY CLINICAL EXPOSURE AS A METHOD TO AUGMENT CONTEXT BASED LEARNING AMONG FIRST YEAR MBBS STUDENTS.
Abstract- Background First year in undergraduate medical education are hard for the academic success of medical students. Actually, during this period students have to learn only theoretical knowledge and no contact with...
PHYSIOLOGICAL IMPORTANCE OF OSTEOPONTIN
ABSTRACT Osteopontin a recently discovered ubiquitous glycoprotein secreted from various cells of the body. It has been found to anchor to bone cells to mineralize the bone matrix. As per some researches its uropontin fo...
2 PREVALENCE OF LEARNING STYLE PREFERENCES AMONGST FIRST YEAR MEDICAL STUDENTS.
Introduction: First year medical students have to incorporate vast amount of information. Learning is influenced by the mode of the input that has been presented to the students. Visual ,auditory ,reading/writing and kin...
28 CLINICO-HISTOPATHOLOGICAL STUDY OF LEPROSY PATIENTS A TERTIARY CARE HOSPITAL BASED STUDY
Background and Objectives: Leprosy is a chronic infectious disease caused by Mycobacterium leprae involving skin and peripheral nerves. Depending upon the immune status of the patients there are different clinico-patholo...