Randomized controlled study on comparative evaluation of 0.75% ropivacaine with 0.75% ropivacaine with dexmedetomidine in epidural anaesthesia in lower limb orthopaedic surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 3
Abstract
Background: Regional anesthesia and analgesia has the potential to provide excellent operating conditions and prolongedpost operative pain relief. Epidural blockade is becoming one of the most useful and versatile procedures in modern anesthesiology. It is more versatile than spinal anesthesia. It can be used to supplement general anesthesia. It provides better postoperative pain control and more rapid recovery from surgery. Aim: To study the time of onset of action of ropivacaine0.75% and ropivacaine0.75% with Dexmedetomidine when administered epidurally. Materials and Methods: The prospective, randomized, comparative study was conducted on 60 patients aged between 18-55 years posted for lower limbsurgeries. Study compared the potentiating effects of epidurally administerd dexmedetomidine when combined with Ropivacaine in terms of haemodynamic changes, onset of sensory and motor blockade, duration of analgesia, intra-operative haemodynamic changes and complications/adverse effects. Results: There was no significant difference in age, weight and height between the two groups. The early onset of sensory analgesia to T10 level and early onset of motor blockade in Group RD is statistically significant pvalue<0.05 (p value<0.0001).The time taken to reach the maximum level of sensory analgesia in Group RD was statistically significant p value<0.05(p value<0.0001). The delayed recovery of motor blockade in Group RD was statistically significant p value<0.05 (p value <0.0001).Duration of analgesia is prolonged in Group RD which is statistically significant p value<0.05 (p value<0.0001).There was no statistically significant difference in the pulserate, systolic blood pressure and diastolic blood pressure between the two groups. Conclusion: when dexmedetomidine 1mcg/kg added as adjuvant to 0.75% Ropivacaine in epidural anaesthesia in lower limb orthopaedic surgeries resulted in earlier onset of sensory analgesia to T10 level and helped in achieving the complete sensory anaesthetic level in a shorter period as compared to ropivacaine.
Authors and Affiliations
Sridevi 1, Patnana Pradeep Kumar
Keywords
Related Articles
- EP ID EP416302
- DOI -
- Views 193
- Downloads 0
Evaluation of the accuracy of finger-tip palpation of pilot balloon as amethod to judge endo tracheal tube cuff pressure
Aims and Objectives- To check the reliability of finger tip palpation of pilot balloon to judge the ETT cuff Pressure, to record the volume required to achieve the ETT cuff pressure of 25 cm H2O. Material and Methods- To...
A prospective randomized double-blinded study comparing intrathecal nalbuphine vs intrathecal fentanyl added to 0.5% hyperbaric bupivacaine for perioperative anaesthesia and postoperative analgesia in patients undergoing hernioplasty
Background- Various adjuvants are added to the local anesthetics intrathecally, to prolongate the duration of anesthesia. Among the adjuvants the most commonly preferred are the opioids. Opioids like fentanyl, morphine,...
Effect of haemodynamic response to laryngoscopy and endotracheal intubation with intravenous lornoxicam - A double blinded control
Aim: The aim of present study is to evaluate the efficacy of Lornoxicam in attenuating haemodynamic response to laryngoscopy and intubation in a placebo controlled double blinded study. Materials and Methods: A clinical...
Ultrasound guided popliteal sciatic and femoral nerve block for below knee surgeries
Many patients with older age group and co morbidities face multiple problems to undergo surgeries of the lower limb patients with cardiac co-morbidities have limitations with anaesthesia techniques as spinal anaesthesia...
Effect of intrathecal labor analgesia using fentanyl 25μg alone and fentanyl 20μg plus bupivacaine 2.5mg on the progress of labor
Background: The aim of this study was regarding the effect of intrathecal analgesia using fentanyl or fentanyl and bupivacaine combination during normal vaginal delivery on onset and duration of analgesia, pain scores in...