Effect of adding Fentanyl to Isobaric 0.75% Ropivacaine in Subarachnoid Block for Infraumblical Surgeries.

Dr. Ashwin Beohar; Dr. Meena Singh

Volume : IX, Issue : IV, April - 2019

Effect of adding Fentanyl to Isobaric 0.75% Ropivacaine in Subarachnoid Block for Infraumblical Surgeries.

Dr. Ashwin Beohar, Dr. Meena Singh

Abstract :

AIM: This study was aimed to evaluate the clinical efficacy and safety of intrathecal fentanyl as an adjuvant to 0.75% isobaric ropivacaine on onset, duration, intensity, and recovery time of sensory and motor blockade for infra umbilical surgeries. METHOD: This prospective randomised double blind study involving 20 patients in each group. Group A: Inj .Isobaric 0.75%Ropivacaine 4.0 ml + 1 ml CSF, and Group B– Inj. Isobaric 0.75% Ropivacaine 4.0 ml + Fentanyl 25µg (0.25 ml) + CSF 0.75ml. Data analysis was done with unpaired t test, one way ANOVA and post hoc Tukey test. Results: Onset of sensory block was comparable. Compå motor block and sensory block, motor block was statistically prolonged in Group B. Conclusion: Intrathecal fentanyl as an adjuvant to 0.75% isobaric ropivacaine demonstrated better clinical profile as compared to ropivacaine alone