Volume : VII, Issue : III, March - 2017

COMPARISON OF EPIDURAL ANAESTHESIA WITH ROPIVACAINE 0.5% AND BUPIVACAINE 0.5% FOR CAESAREAN SECTION

Dr. T. Swathi Priya Darshini, Dr. M. Raghu Praveen Kumar,

Abstract :

 Background and Objectives: Several studies have demonstrated that certain drugs when used for epidural block shortens the duration of motor block with minimal effect and quality and duration of sensory block . This study is undertaken to assess the efficacy of Ropivacaine when compared to bupivacaine in epidural block in parturients undergoing cesarean section. Methods: A prospective, randomized double blinded study was carried out in Government General Hospital, Kurnool, in which 60 parturients (ASA I or II) undergoing elective cesaren surgeries were included. Patients were randomly divided into two groups of 30 each, named as A (Ropivacaine) group and B(Bupivacaine) group. Group A received 20 ml of 0.5% Ropivacaine and Group B received 20 ml of 0.5% Bupivacaine. The onset time and duration of sensory and motor blockade were recorded. Haemodynamic variables (i.e. heart rate, non–invasive blood pressure, O2 saturation) are recorded for 24 hours post operatively. Results :The onset time of sensory blockade, duration of analgesia and 2–segment regression of sensory blockade was comparable between the two groups. The motor blockade was of slower onset, less intense and of shorter duration in Ropivacaine group compared to that of Bupivacaine group (p < 0.05).There was no much variation in systolic and diastolic blood pressure in both groups. There was no significant difference between the two groups in heart rate at any point of surgery. No symptoms and signs of toxicity were seen in both the groups.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. T. Swathi Priya darshini, Dr. M. Raghu Praveen Kumar, , COMPARISON OF EPIDURAL ANAESTHESIA WITH ROPIVACAINE 0.5% AND BUPIVACAINE 0.5% FOR CAESAREAN SECTION, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾3 | March‾2017

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