Comparative Study of Intrathecal Isobaric 0.5% Bupivacaine and Isobaric 0.75% Ropivacaine for Lower Abdominal and Lower Limb Surgeries.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
Background and Aim The study is to compare the effects of 2.0 ml (15mg) of intrathecal isobaric Ropivacaine 0.75% with 2.0 ml (10mg) of isobaric Bupivacaine 0.5%. with respect to sensory and motor block, Recovery parameters, Hemodynamic changes. Settings and Design: A randomized double blind study was conducted among 200 healthy parturients, scheduled for lower abdominal and lower limb surgeries, at PDMMC Amravati India. Materials and Methods This clinical study was conducted on 200 adult patients of ASA physical status I & II in the age group of 18 years to 60 years, of either sex, posted for elective lower limb, lower abdominal, gynaecological and urological surgeries under spinal anaesthesia after taking informed consent at Panjabrao Deshmukh memorial medical college and Hospital Amravati over a period of 18 months. After approval from the hospital ethical committee, a comparative study was carried out on 200 adult patients. Results: This study reveals that 15 mg of isobaric Ropivacaine (2 ml of 0.75%) when administered intrathecally provides adequate anaesthesia for lower abdomen and lower limb surgeries and is an alternative to Bupivacaine. Ropivacaine is similar to Bupivacaine in onset of sensory and motor block, quality of analgesia, degree of motor block and duration of sensory block, But there is shorter duration of motor block with Ropivacaine compared to Bupivacaine.
Authors and Affiliations
Dr Lalit Jadhav
Keywords
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