Comparative Evaluation of Efficacy of Intrathecal Isobaric Ropivacaine 0.75% Versus Isobaric Ropivacaine 0.75% with Dexmedetomidine for Infraumbilical Surgeries
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: Various adjuvants are being used for spinal anaesthesia. Dexmedetomidine hydrochloride is a newer alpha2 agonist with sedative, analgesic and anxiolytic properties. Ours was a comparative study of efficacy of intrathecal isobaric Ropivacaine 0.75% plain with adjuvant Dexmedetomidine for elective infraumbilical surgeries. Materials & Methods: Prospective randomized study (May 2011- May 2013) on 60 patients of ASA 1-2, 18-60 years of either sex, 40-80kg with a random allocation to Group R (3.5 ml 0.75% isobaric Ropivacaine) and Group D (3.0 ml 0.75% isobaric Ropivacaine + 10 micrograms (0.1ml) Dexmedetomidine + 0.4 ml NS. Total volume 3.5 ml) was done. Results: Group D patients had reduced dose, faster onset, significantly longer and effective sensory and motor blockade, hemodynamic stability, reduced demand of post-operative analgesics (P value < 0.05). Conclusion: Addition of 10 micrograms Dexmedetomidine to intrathecal isobaric Ropivacaine 0.75% enhances sensory and motor blockade, offers hemodynamic stability and reduces demand of postoperative analgesics.
Authors and Affiliations
Arati Jadhav, Smit Kadakia, I. J. Namazi
Keywords
Related Articles
- EP ID EP547777
- DOI 10.21276/ijmrp.2017.3.3.008
- Views 95
- Downloads 0
A Study of Vitamin B12 Level as a Risk Factor for Ischemic Stroke
Introduction: Hyperhomocysteinemia is an independent risk factor for Ischemic stroke. Data from prospective studies on the associations between Vitamin B-12 plasma levels and the risk of stroke is limited. We conducted a...
Nephrolithiasis Manage by Percutaneous Nephrolithotomy in Patients with Renal Insufficiency
Introduction: The prevalence of nephrolithiasis are depends on multiple factors. Commonly renal stone disease depends on climate, environment, genetic factor, geographical distribution, ethnic factor, diet. Renal stones...
Surgical Outcome of Endoscopic Endonasal Surgery for Non-Functional Pituitary Adenoma
Background: Pituitary adenomas are the third most common intracranial neoplasm, accounting for 10%–25% of intracranial neoplasms with a prevalence of 16.9%. Recently for treating pituitary adenomas two important endoscop...
Evaluation of Complications in Patients Undergoing Treatment for Femoral Shaft Fractures with Undreamed Intramedullary Nailing
Background: Fracture of the shaft of femur is a commonly seen fracture in orthopedic practice, and it is frequently associated with injuries to other sites. The aim of the present study is to evaluate the Complications i...
The Pattern of Histopathology of Gall Bladder of Patients Undergoing Cholecystectomy
Background: Cholecystitis accounts for high mortality and morbidity, with most appropriate treatment being surgical removal of the gallbladder. There seems to be specific need for histopathology of gall bladder, as selec...