COMPARISON OF PRE–EMPTIVE AND INTRA–OPERATIVE ADMINISTRATION OF EPIDURAL KETAMINE OR DEXAMETHASONE WITH 0.2% ROPIVACAINE FOR POST–OPERATIVE ANALGESIA IN LOWER ABDOMINAL SURGERY

Dr. L. S. Mishra; Dr. Neelam Singh; Dr. Rajiv Gautam; Dr. Manoj Giri; Dr. Pradeepika Gangwar

Volume : V, Issue : IV, April - 2016

COMPARISON OF PRE–EMPTIVE AND INTRA–OPERATIVE ADMINISTRATION OF EPIDURAL KETAMINE OR DEXAMETHASONE WITH 0.2% ROPIVACAINE FOR POST–OPERATIVE ANALGESIA IN LOWER ABDOMINAL SURGERY

Dr. L. S. Mishra, Dr. Neelam Singh, Dr. Rajiv Gautam, Dr. Manoj Giri, Dr. Pradeepika Gangwar

Abstract :

Aim : To test whether a better reduction in post–operative pain and analgesic consumption could be achieved by pre–emptive and intra–operative administration of epidural dexamethasone or ketamine with ropivacaine, in patients undergoing lower abdominal surgery. Material and Method : Patients were random divided into three groups, GROUP C (Control):Patient receiving preemptive and intraoperative epidural 0.2% ropivacaine (10ml), GROUP D: Patient receiving preemptive and intraoperative epidural 0.2% ropivacaine (10ml) + 5mg dexamethasone, GROUP K: Patient receiving preemptive and intraoperative epidural 0.2% ropivacaine (10ml) + 50mg ketamine. Results : Postoperative pain was observed for 24 hrs with Visual Analogue Scale. Longer Duration of post–operative analgesia and lesser requirement of rescue analgesics were observed in group K than group D. Conclusion : Pre–emptive and intraoperative epidural administration of ketamine 50 mg as adjuvant with 0.2% ropivacaine causes better post–operative analgesia and less requirement of analgesics in post–operative period than preemptive and intra–operative epidural administration of dexamethasone 5 mg without increasing side effects