Volume : VIII, Issue : III, March - 2018

THE EFFICACY OF EPIDURAL ROPIVACAINE IN KNEE ARTHROSCOPY SURGERY

Swetha Purohit, Ramachandra Badami

Abstract :

 

Introduction: Epidural anesthesia is also commonly performed for knee arthroscopy, for early painfree mobilization. Ropivacaine has lesser systemic toxicity and early recovery of motor function. We aimed to study the efficacy of epidural anesthesia using 0.75% ropivacaine in cases of knee arthroscopy.

Materials and Methods: This is study of 50 patients of arthroscopic surgery of knee treated at our institution using epidural 0.75% Ropivacaine. We evaluated the intraoperative pain by visual analog pain scale(VAS). The onset of sensory and motor block, efficacy of postoperative pain relief by VAS were noted.

Results: Mean time required to achieve complete sensory analgesia was 12.4minutes and for complete motor block was 19.7minutes. There were no cases with adverse effects of drug. The mean VAS score before every epidural top–up was 5 and after the top–up was 0.5.

Discussion: The benefits of epidural ropivacaine were short–lasting motor block, early mobilization and micturition. Epidural catheter eases achieving pain free spells for early mobilization but is not suited for day care surgery.

Conclusion: Our results show that epidural block with 0.75% ropivacaine is very effective in terms of onset of motor and sensory block, post–operative analgesia, helps in early mobilization following knee arthroscopy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Swetha Purohit, Ramachandra Badami, THE EFFICACY OF EPIDURAL ROPIVACAINE IN KNEE ARTHROSCOPY SURGERY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-3 | March-2018

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