Comparison of 0.5% Bupivacaine and Dexamethasone with 0.75% Ropivacaine and Dexamethasone in Peribulbar Block for Small Incision Cataract Surgery: A Prospective Randomized Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 12
Abstract
Objective: To compare the anaesthetic efficacy and postoperative analgesia of 0.75% ropivacaine and 2mg dexamethasone with 0.5% bupivacaine and 2mg dexamethasone in peribulbar block for patients undergoing small incision cataract surgery. Methods: 50 patients were divided into 2 groups of 25 each and were randomized to receive peribulbar anaesthesia using 0.5% bupivacaine and 2mg dexamethasone in group I and 0.75% ropivacaine and 2mg dexamethasone in group II. The patients were compared for the duration of akinesia and postoperative analgesia. Results: Akinesia was achieved slower in group I (14.12±2.99 mins) when compared to group II (8.24± 1.05 mins) which was statistically significant. Group I showed significantly longer postoperative akinesia (2.52±0.51 hours) than group II (0.77±0.12 hours). Also the VAS scores were significantly lower at 1 hour in group I (2.94±0.54) when compared to group II (4.96±0.89). Conclusion: Ropivacaine and dexamethasone showed faster onset of akinesia but bupivacaine and dexamethasone showed prolonged postoperative akinesia, better postoperative analgesia and prolonged time to first recue analgesic.
Authors and Affiliations
Arun Kumar
Keywords
Related Articles
- EP ID EP550247
- DOI 10.21088/ijaa.2349.8471.51218.19
- Views 88
- Downloads 0
Comparison of Tramadol & Dexamethasone as Adjuvants to Local Anaesthetic in Supraclavicular Brachial Plexus Block
Context: To assess the safety and efficacy of tramadol and dexamethasone as an adjuvant in enhancing post-operative analgesic effect of local anaesthetic in supraclavicular brachial plexus block (SCBPB). Aims: To compare...
Haemodynamic Effects of LMA Fastrach versus Macintosh Laryngoscope While Intubation in Patients Undergoing Cabg
Coronary artery bypass grafting (CABG) surgery is still the predominant operative procedure for myocardial revascularization. The pressor response to intubation is a detrimental factor in these patients, where stable hem...
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...
Ultrasound Guided Combined Superficial Cervical Plexus BlockInterscalene Block for Anesthesia in Clavicular Fractures: A Retrospective Observational Cohort Study
Background: Even though various peripheral nerve blocks are used for analgesia in clavicular fractures. The use of ultrasound guided combined superficial cervical plexus block and interscalene blocks as a sole anaestheti...
Awareness of Operation Theatre and ICU Nurses about Pharmacovigilance: A Questionnaire Based Study
Background & Aim of the Study: The main objective of the Pharmacovigilance programme of India is to create a nationwide system of adverse drug reporting by health care professionals and patients. Nurses are the most esse...