The efficacy of 0.75% ropivacaine by epidural neuroaxial blockade for lower abdominal surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 2
Abstract
The feasibility of injecting a local anaesthetic by the epidural route was first demonstrated by the French Urologist Cathelin in 1901. However, for many years caudal rather than lumber epidural blockade was the preferred method for epidural anaesthesia. A thorough pre-anaesthetic check-up was done for all patients, a day before surgery. Patients were evaluated for any systemic diseases. No special investigations were required pertaining to the study. Basic investigations like haemoglobin, total and differential WBC count, bleeding and clotting time, HIV and HBs Ag, ECG and urine routine investigations were carried out for all the patients. Written informed consent was obtained before the surgery after explaining the patients about the drug and Epidural anaesthetic procedure. The highest level of sensory block achieved was T 5 with a range of T 5 - T 8. The mean time taken to reach highest level of sensory block was 29.77 ± 4.94 minutes.83.3% of the patients achieved the highest level between 20 to 35 minutes. The total duration of motor block was assessed when the pt could raise the extended leg on both sides and in the present study, the mean total duration of motor block was found to be 263.58 ± 21.19 minutes
Authors and Affiliations
Santosh Kumar, A S Bala Sundar, M Shivashankar
Keywords
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