Intrathecal Hyperbaric Ropivacaine and Hyperbaric Ropivacaine with Fentanyl in Caesarean Section: A Comparative Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background: Ropivacaine is considered to have more selectivity for sensory blockade with lower systemic toxicity compared to agents like bupivacaine. In this study, spinal block characteristics of hyperbaric ropivacaine with and without fentanyl in cesarean section were studied. Materials and methods: One hundred (100) parturients undergoing elective lower segment cesarean section (LSCS) were recruited in this randomized double-blind controlled study. They were allocated into two groups: Group A –15mg 0.6% hyperbaric ropivacaine and Group B - 13.2 mg of 0.6% hyperbaric ropivacaine + 15μg fentanyl intrathecally. The spinal block characteristics in the two groups were assessed along with the intraoperative hemodynamic changes. The results obtained were statistically analyzed and p<0.05 was considered statistically significant. Results: The sensory onset time in Group A and Group B were 3.23±0.57 vs. 1.55±0.37 (p<0.001) and the motor onset time to Bromage 1 (min) was 3.84±0.60 and 2.60±0.47 (p<0.001) respectively. The mean peak sensory block level (MPSBL) between group A & group B were (T4/T6:39/11 vs. 50/0); p<0.001. Sensory block regression to T10 in between the two groups were group A (110.16±6.82) vs. group B (119.74±5.97);(p<0.001). Conclusion: Intrathecal fentanyl as adjuvant to hyperbaric ropivacaine provided faster onset and longer duration of sensory block, early recovery from motor block, better hemodynamic stability without any significant side effects than hyperbaric ropivacaine alone for lower segment caesarean section.
Authors and Affiliations
Dr. Sagar Debbarman, Dr N. Ratan Singh, Prof. S. Sarat Singh, Dr V. Ramesh, Dr Jayalaxmi Bachaspatimayum, Dr Ralte Lalrinmawia
Keywords
Related Articles
- EP ID EP590304
- DOI 10.9790/0853-1601084246
- Views 49
- Downloads 0
Management of Severely Obliterated Canals-Case Series
Pulp canal obliteration commonly occurs after dental trauma. It causes complete or partial obliteration of the root canal system which poses challenge for endodontic treatment. It can be caused due to other factors such...
Application of Dual-Energy CT Gemstone Spectral Imaging (DECT GSI) in the Characterization of Ground-glass nodules (GGNs)
Dual-Energy CT Gemstone Spectral Imaging (DECT GSI) is a new application of a fundamental physics concept that uses rapid kV switching to acquire the dual energy samples almost simultaneously to generate material density...
A correlate between placental and fetal weight at term in North Coastal Andhra Pradesh.
The placenta is one organ which forms before the fetus and is the fore runner of the fetal growth from implantation till parturition1 . It persists throughout gestation and leaves the uterus only after the delivery of th...
Risk Factors for Seizures in Children with Cerebral Palsy – A Descriptive Study
Background: Children between the age group of 1 to 12 years suffering from cerebral palsy with and without seizures have a higher risk of mortality and morbidity. Few interventions likely to be beneficial like maternal r...
Vaginal Candidiasis- The Known Opportunistic Fiend in Developing Countries
Background- Vaginal yeast infections, also known as candidiasis, are a common female condition. A healthy vagina has bacteria and some yeast cells,but when the balance of bacteria and yeast changes, the yeast cells can m...