A clinical comparative study of 0.2% levobupivacaine with 25 mcg fentanyl versus 0.2% ropivacaine with 25 mcg fentanyl for post-operative epidural analgesia in patients undergoing lower limb orthopaedic surgeries
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Objectives The objectives of our study were to compare the efficacy and safety of 02 Levobupivacaine with 25 mcg Fentanyl and 02 Ropivacaine with 25 mcg Fentanyl given epidurally for postoperative analgesia in patients who were operated electively for lower limb orthopaedic conditions under spinal anaesthesiaMaterials and Methods Sixty patients belonging to American Society of Anaesthesiologists ASA Class I and II of both sexes of age within 20 60 years were included in the study after obtaining institutional ethical committee clearancePatients were divided randomly into 2 groups Group LF which received 8 ml of 02 Levobupivacaine with 25 mcg Fentanyl and Group RF which received 8 ml of 02 Ropivacaine with 25 mcg Fentanyl Surgery was conducted under spinal anaesthesia Later 8 ml of the test drug combination was given epidurally in the postoperative period when the patient complained of pain VAS score 4 and the parameters were recorded periodically until pain reappeared VAS score 4Results In both the groups mean duration of surgery changes in haemodynamics and demographic profiles were comparable However the total duration of postoperative analgesia in Levobupivacaine group was 325 6306 minutes and in Ropivacaine group was 210 2491 minutes respectively and this appeared to be statistically significantConclusion Compared to 02 Ropivacine with 25 mcg Fentanyl 02 Levobupivacaine with 25 mcg Fentanyl provides intense and longer duration of postoperative analgesia with similar haemodynamic stabilityKeywords Levobupivacaine Ropivacaine Fentanyl Postoperative analgesia Local anaesthetics
Authors and Affiliations
Sudarshan M. Boregowda, Basavanna P. Linganna, Santosh K. Raju
Keywords
Related Articles
- EP ID EP476459
- DOI 10.18231/2394-4994.2018.0044
- Views 98
- Downloads 0
Intra operative temporomandibular joint dislocation during use of proseal LMA
General anaesthesia is associated with several common complications TMJ dislocation is one of the rare complications encountered during airway management Usually occurs during endotracheal intubation but other factors su...
Lateral approach versus conventional approach supraclavicular block for forearm surgeries. A prospective randomized controlled study
Background and Aims Conventional technique of supraclavicular block is associated with direct injury to the vessels nerves and pleura which can be minimized with lateral approach Here we compared lateral with conventiona...
Role of intravenous paracetamol as an adjunct to epidural analgesia in immediate postoperative period in abdominal cancer surgeries
Aims and Objectives: To evaluate analgesic efficacy and side effects of intravenous paracetamol, also assess IV-PCA morphine consumption in patients undertaken abdominal cancer surgery. Materials and Methods: Total 160 A...
Checklist: A key to safety
Modern medicine involves highly specific and sophisticated techniques and equipments However human errors as well as equipment failure may lead to fatal accidents an increase in the cost of health care Using checklist as...
A prospective, randomized, double blind, systemic controlled trial to compare analgesic efficacy of clonidine and fentanyl in supraclavicular block with 0.75% ropivacaine
Introduction and Object Fentanyl and clonidine mostly used as adjuvant to improve quality and duration of nerve block In present study we compared clonidine and fentanyl perineurally and systemically in Supraclavicular B...