Volume : IX, Issue : II, February - 2020

TO STUDY THE EFFECT OF LEVOBUPIVACAINE WITH FENTANYL FOR KNEE ARTHOSCOPY

Gaurav Kumar, Gurumurthy T

Abstract :

Background: In recent years levobupivacaine, the pure s (–) stereoisomer of bupivacaine has emerged as safer alternative to bupivacaine. Fentanyl has been used commonly with bupivacaine for enhancement of analgesia without intensifying motor and sympathetic block in intrathecal anesthesia. In our study we compare the clinical efficacy and adverse effects of levobupivacaine alone and in combination with fentanyl in knee arthroscopy under intrathecal anesthesia. Materials and methods: In this prospective, randomized, double blind study, 60 patients undergoing knee arthroscopy under intrathecal anesthesia were randomized into two groups of 30 patients each. 2.8ml of 0.5% isobaric levobupivacaine (14mg) plus 0.2ml of normal saline in group a and 2.8ml of 0.5% isobaric levobupivacaine (14mg) plus 0.2ml fentanyl (10mcg) in group b were administered intrathecally. The efficacy was compared in terms of onset, duration and quality of sensory and motor block, hemodynamic changes and adverse effects. Results: The duration of sensory block was significantly prolonged in levobupivacaine plus fentanyl group (p < 0.05). Levobupivacaine plus fentanyl group also had significantly better degree of motor block compared to plain levobupivacaine group (p < 0.05). Hemodynamic changes were similar in both the groups. Conclusion: The study concludes that combination of fentanyl with levobupivacaine offered an advantage of improved degree of motor block and prolonged duration of sensory block with least side effects.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

TO STUDY THE EFFECT OF LEVOBUPIVACAINE WITH FENTANYL FOR KNEE ARTHOSCOPY, Gaurav Kumar, Gurumurthy T INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-2 | February-2020

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