A COMPARATIVE STUDY BETWEEN INTRAARTICULAR ROPIVACAINE AND ROPIVACAINE PLUS DEXMEDETOMIDINE FOR POST OPERATIVE ANALGESIA IN ARTHROSCOPIC KNEE SURGERY

Dr. Chirag Patel; Dr. Kinjal Khatri; Dr. Vipul Patel; Dr. Amit Sharma; Dr. Nirali Patel

Volume : VII, Issue : XI, November - 2018

A COMPARATIVE STUDY BETWEEN INTRAARTICULAR ROPIVACAINE AND ROPIVACAINE PLUS DEXMEDETOMIDINE FOR POST OPERATIVE ANALGESIA IN ARTHROSCOPIC KNEE SURGERY

Dr. Chirag Patel, Dr. Kinjal Khatri, Dr. Vipul Patel, Dr. Amit Sharma, Dr. Nirali Patel

Abstract :

INTRODUCTION: Two types arthroscopic knee surgery

1) Diagnostic 2)Therapeutic. Opiate receptors & free nerve endings sense pain in intraarticular tissue. Dexmedetomidine–––a2 receptor agonist and Ropivacaine–––pure s(–) enantiomer amino acid local anesthetic intraarticular 0.75% 20ml 150mg, provides better sensory than motor block with minimal side effects and cardiac stability than bupivacaine.

AIM : Compare the efficacy and duration of analgesia of two drugs

METHODS: Randomised double blind study

RESULTS : Ropivacaine + dexmedetomidine better than ropivacaine for analgesia.

CONCLUSION: Dexmedetomidine plus Ropivacaine via intraarticular route in post arthroscopic surgery increase post operative analgesia without increase hemodynamic instability.