TO Compare Between Intrathecal Hyperbaric Ropivacaine and Intrathecal Hyperbaric Bupivacaine in Lower Abdominal Surgeries
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 8
Abstract
Present study was undertaken to see the comparsion between intrathecal hyperbaric ropivacaine and Intrathecal hyperbaric bupivacaine in lower abdominal surgeries. Material& methods: The Present study was undertaken in indoor patients admitted at NSCB, Medical College Hospital, Jabalpur (M.P.) after institutional and ethics committee approval and informed consent 80 patients of ASA physical status I & II aged between 20 and 60 years, undergoing lower abdominal surgeries were enrolled for the study. Exclusion Criteria : Patient refusal, Patients with coagulopathy, Hypovolemia or shock. Materials: 25 G Top spinal needle, Disposable 5 ml syringe. Sterile gloves sterile drapes. Sterile bowl with betadine and spirit, of 0.5% bupivacaine , of 0.75% plain ropivacaine Group 1 (ropivacaine group): Received intrathecally 3ml of 0.5% hyperbaric ropivacaine in dextrose 5%. Group 2 (bupivacaine group): Received Intrathecally 3ml of 0.5% hyperbaric bupivacaine (available commercially). Results: we observed in our study that more number of patients in bupivacaine group (20 out of 40) developed hypotension immediately after intrathecal injection, which responded to fluid administration and i.v. ephedrine, if required. The mean time taken for achieving maximum level of sensory block in group 1 was 20.08 min as compared to 15.0 min in group 2 (statistically significant). The mean time taken for sensory regression to L1 was 67.88 min in group 1 as compared to 110.38 min in group 2 (statistically significant). Conclusion: From our study we concluded that hyperbaric ropivacaine is comparable to hyperbaric bupivacaine in terms of quality of block, but with a short recovery profile. Patients in the ropivacaine group were able to mobilize and pass urine sooner than those in the bupivacaine group. Ropivacaine may be suitable for short procedures where a rapid return of ambulatory function is desirable, such as in the day-case setting, where its recovery profile could confer a distinct clinical advantage. We therefore recommend that intrathecal hyperbaric ropivacaine is a suitable alternative to intrathecal hyperbaric bupivacaine in short duration surgeries where early ambulation is desirable.
Authors and Affiliations
Dr Manmohan Jindal
Keywords
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