OBSERVATIONAL STUDY TO COMPARE THE EFFECT OF INTRATHECAL 0.5% ISOBARIC BUPIVACAINE AND 0.75% ISOBARIC ROPIVACAINE FOR LOWER ABDOMINAL AND LOWER LIMB SURGERIES

Dr. Kumar Abhinav; DR. JAYSHRI DESAI

Volume : VIII, Issue : II, February - 2018

OBSERVATIONAL STUDY TO COMPARE THE EFFECT OF INTRATHECAL 0.5% ISOBARIC BUPIVACAINE AND 0.75% ISOBARIC ROPIVACAINE FOR LOWER ABDOMINAL AND LOWER LIMB SURGERIES

Dr. Kumar Abhinav, Dr. Jayshri Desai

Abstract :

Background and Objectives: Effect of intrathecal 0.5% isobaric bupivacaine & 0.75%isobaric ropivacainein intrathecal anesthesia for lower abdominal & lower limb surgeries. The objective was to evaluate the effect of isobaric bupivacaine and isobaric ropivacaine in spinal anesthesia.

Materials and Methods: Sixty selected patients were randomized to receive intrathecal isobaric bupivacaine3.5ml & isobaric ropivacaine3.5ml in spinal anesthesia for lower limb & lower abdominal surgeries. Sensory and motor block characteristics, hemodynamic changes, intraoperative analgesia, intraoperative and postoperative adverse effects were compared.

Conclusion: Isobaric ropivacaine has comparable quality of sensory block but has slower onset and significantly shorter duration of motor block and better hemodynamic stability compared to bupivacaine.