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 86
- Downloads 0
Femoral Nerve Block Versus Intravenous Fentanyl for Positioning During Central Neuraxial Block: A Comparitive Study
Background: Fracture of the femur is a common orthopaedic problem following trauma in patients of all ages. This study was undertaken to compare the effectiveness of intravenous (IV) fentanyl with femoral nerve block (FN...
Comparison of Dexmedetomidine and Fentanyl as Adjuvants to Ropivacaine in Epidural Anaesthesia for infraumbilical Surgeries: An Observational Study
Aims: To assess the efficacy and compare the duration of analgesia, level of sedation and side effects of 0.75% ropivacaine with 50 mcg dexmedetomidine to 0.75% ropivacaine with 50 mcg fentanyl given epidurally. Study s...
Effects of Dexmedetomidine on Intraoperative Hemodynamics and Opioid Requirement in Laparoscopic Cholecystectomy
Laparoscopic surgery poses a challenge to its successful anesthetic management due to its significant alteration of hemodynamics resulting from pneumoperitoneum. Dexmedetomidine although frequently used in laparoscopic s...
Comparison of Recovery Following Two Different Anaesthetic Techniques in Term Neonates Undergoing Emergency Colostomy: A Prospective Randomised Controlled Study
Introduction: The risk of apnea after surgery is significant in neonates regardless of anaesthetic agents used. A prospective randomized study done at our institute to explore the hypothesis “post-operative neonatal reco...
Comparison of Dexmedetomidine Versus Midazolam in Providing Sedation for Endoscopy
Background: To minimize patient discomfort, anxiety and pain and to improve patient cooperation throughout the procedure and ease the performance of the procedure by the endoscopists conscious sedation is required. The m...