Juxtaposition of Ropivacaine with Bupivacine Hyperbaric Solutions for Spinal Anaesthesia in Elective Surgeries: A Prospective Randomized Double Blind Study

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 3

Abstract

Background: Baricity is the density of a substance compared to the density of human cerebrospinal fluid which used in anaesthesia to determine the manner in which a particular drug will spread in the intrathecal space and produce shorter duration of onset, greater level of blockade and fast recovery. Aim: To compare the clinical efficacy of hyperbaric Ropivacaine and Bupivacaine under spinal anaesthesia in terms of duration of onset, blockade and recovery. Settings and Design: Prospective, comparative and randomized double blind study. Methods and Material: About 80 patients from K S Hedge Medical College Hospital, NITTE University, Mangaluru, Karnataka, India were enrolled between January 2015 to August 2016 by random sampling method and divided into two groups as A and B. Group A received 3ml of 0.5% hyperbaric Bupivacaine and Group B received 3ml of 0.5% hyperbaric Ropivacaine. Subarachnoid block in L3-L4 space was performed by considering following parameters such as Onset and duration of block and recovery following injection. Statistical Analysis: Unpaired t test and Chi square test. P<0.05 was considered as statistically significant. Results: The duration of onset of sensory block to T10 with 0.5% hyperbaric Bupivacaine was 5.9±0.955 min when compared to 0.5% hyperbaric Ropivacaine which was 5.50±1.219 min with p value of 0.107. Conclusions: Hyperbaric Ropivacaine has showed more favourable profile than hyperbaric Bupivacaine in terms of shorter duration of onset, with higher level of sensory blockade and faster recovery.

Authors and Affiliations

Anil Shetty

Keywords

Related Articles

Assessment of Knowledge and Impact of Training on Cardiopulmonary Resuscitation among the Registered Nurses in a Tertiary Care Hospital

Context: Cardiac arrest whether in the hospital or outside hospital is considered as a major medical emergency and it should be treated immediately.The survival and outcome of a cardiac arrest depends on the early initia...

Dexemedetomidine and Clonidine as Adjuvant to Local Anaesthetic Agent in Epidural Anaesthesia

Background: Many anesthetic drug combinations have been used in patients to improve regional anaesthesia. This study was planned to compare the analgesic and sedative effects of dexmedetomidine and clonidine as an adjuva...

Comparison of Recovery Profile of Sevoflurane and Desflurane in Patients Undergoing Elective Neurosurgical Procedures

Aim: The primary objective of the study was to compare the early post-operative recovery profile of Sevoflurane with Desflurane in adult patients undergoing elective neurosurgical procedures, with respect to emergence ti...

Comparison of Laryngeal Mask Airway and Endotracheal Intubation in Paediatric Patients: A Comparative Study

Aim: The aim of the present study was to compare the subsequent factors that take place during laryngeal mask airway insertion and endotracheal intubation for surgical procedures under general anesthesia. The parameters...

Comparative Study of Stylet Angulation of 60° and 90° for the Ease of Endotracheal Intubation with McGrath Videolaryngoscope

Introduction: Videolaryngoscopes facilitate the tracheal intubation by enabling anaesthetists to have a superior vision of the larynx with minimal manipulation of the oral-pharyngeal-laryngeal structures. Studies have in...

Download PDF file
  • EP ID EP471512
  • DOI 10.21088/ijaa.2349.8471.4317.11
  • Views 100
  • Downloads 0

How To Cite

Anil Shetty (2017). Juxtaposition of Ropivacaine with Bupivacine Hyperbaric Solutions for Spinal Anaesthesia in Elective Surgeries: A Prospective Randomized Double Blind Study. Indian Journal of Anesthesia and Analgesia, 4(3), 617-622. https://europub.co.uk/articles/-A-471512