A Randomized Controlled Study to Compare the Efficacy of Ropivacaine and Bupivacaine in Spinal Anesthesia in Children

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 6

Abstract

Aim: To evaluate the efficacy of Ropivacaine and Bupivacaine in spinal anaesthesia in children for infraumblical surgeries as regional anaesthesia in children and ambulatory setup is gaining popularity. Materials and Methods: This is a randomized controlled study involving 60 children of age between 7 and 12 years posted for elective infraumblical surgeries under spinal anaeshesia. They are allotted into two groups, Group R receiving 0.5% ropivacaine and Group B receiving 0.5% bupivcaine. The onset of sensory block, maximum height of sensory block, time taken to reach the maximum height of sensory block, two segment regression time, onset of motor block, mean duration of sensory & motor block and quality of block were noted. The hemodynamic parameters noted are pulse rate, systolic and diastolic blood pressure, oxygen saturation with pulse oximeters. Statistical Analysis used: Chi- Square test. Results: There was significant delay in onset of sensory and motor block in ropivacaine group. There was earlier two segment regression time, earlier offset of sensory and motor block and time taken for micturition was earlier in ropivacaine group. The quality of block was adequate in both groups. The hemodynamic parameters were well maintained in both groups. Conclusion: Ropivacaine provides a good alternative to bupivacaine in case of short duration of surgeries. It is more suitable in cases of ambulatory surgeries where the patients meet the discharge criteria earlier and can be discharged from the hospital.

Authors and Affiliations

Premkumar K. G.

Keywords

Related Articles

Comparative Study between Ropivacaine 0.2% Versus Bupivacaine 0.2% in Epidural Labor Analgesia

Introduction: The epidural analgesia is popular and effective method of labour analgesia since the parturient remains awake, pain free and comfortable, watches her delivery and immediately can feed her baby. Bupivacaine...

Study on Effectiveness of EMLA Cream in Attenuation of the Hemodynamic Response to Venepuncture

Context: The anxiety related to venepuncture can result in a hemodynamic stress response leading to increase in heart rate and blood pressure of the patient. Aims: To evaluate the efficacy of eutectic mixture of local an...

Comparison of Laryngeal Mask Airway Proseal and Supreme in Patients Posted for Elective Surgeries Under General Anaesthesia: A Randomised Clinical Trial

Background: In spite of tremendous advances in contemporary anesthesia practice, airway management continues to be of paramount importance to anesthesiologist. Hemodynamic changes are the major undesirable consequences o...

Intubation Sans Relaxant: Propofol VS. Triple Nerve Block

Aims: Methods that avoid use of muscle relaxants during intubation help us when their use would be detrimental to the patient/situation. Here we aim at intubations without muscle relaxants which could be of great signifi...

Study of Effect of Ondansetron in Preventing Hypotension Following Spinal Anaesthesia in LSCS

This randomized double blind study was conducted to know the efficacy of ondansetron as prophylactic agent for reduction in incidence of hypotension and bradycardia in patients undergoing caesarean section under spinal a...

Download PDF file
  • EP ID EP541304
  • DOI 10.21088/ijaa.2349.8471.5618.12
  • Views 77
  • Downloads 0

How To Cite

Premkumar K. G. (2018). A Randomized Controlled Study to Compare the Efficacy of Ropivacaine and Bupivacaine in Spinal Anesthesia in Children. Indian Journal of Anesthesia and Analgesia, 5(6), 952-956. https://europub.co.uk/articles/-A-541304