A Comparative Study of Ropivacaine with Dexmeditomidine and Fentanyl Spinal Anaesthesia in Uro-Gynacological Surgeries
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 7
Abstract
This study was conducted in 106 adult patients with ASA physical status - planed for lower abdominal uro -gynac surgeries under spinal anaesthesia. We compared the onset & duration of motor and sensory block and time to two segment regression from maximal level achieved after giving 2.5ml of 0.75% Ropivacaine + 5µg dexmeditomidine (group-RD) versus 2.5 ml of 0.75% Ropivacaine + 25µg fentanyl intrathecally(groupRF).We observed that onset of sensory and motor blocks were not statistically significant in both groups. Duration of complete motor & sensory blocks were significantly shorter in group-RF as compared to groupRD. Time to 2 segment regression of sensory blockade from maximum level was statistically significant in group-RF compared to RD group. Haemodynamic parameters were comparable in both groups. Demand for rescue analgesia was later and number of doses of rescue analgesia was lesser in group RD Peri-operative and post-operative complications were less & comparable in both groups.To conclude, we found that intrathecal (5µg) DXM supplementation with 0.75% ropivacaine seems to be a better alternative to intrathecal (25µg) fentanyl with 0.75% ropivacaine since it produces prolonged sensory& motor blockade and more effective pain relief, thus making it a more lucrative option for lower abdominal and urogynacological surgeries
Authors and Affiliations
Pratibha Kumari
Keywords
Related Articles
- EP ID EP517092
- DOI -
- Views 81
- Downloads 0
Ethological studies on bumble bees under subtropical conditions in India
Native pollinators play an important role in the sustenance of plant diversity which further supports the existing fauna. Among the different pollinators in the temperate regions of the globe, bumble bees have a very imp...
Vitamin D status among Pulmonary Tuberculosis Drug Induced Hepatotoxicity of Anti-tubercular Therapy
Background: Serum 25-hydroxy vitamin D (S-25(OH) D), in pulmonary Tubercular patient enhances host protective immune response to mycobacterium tuberculosis (TB) and reduces disease associated inflammation. The aim of pre...
Effects of Intravenous Dexmedetomidine on Spinal Anaesthesia with Hyperbaric Bupivacaine
This study was conducted to assess the effects of IV dexmedetomidine on sensory, motor, haemodynamic parameters and sedation during subarachnoid block. 50 ASA I and II patients, aged 18 to 55years, either sex, scheduled...
Routine Use of Antibiotics in Hernia Surgery in Children: Is It Really Required?
Objective: Open Inguinal herniotomy in children is most commonly performed day care surgery in paediatric surgical practice. Present study aims to find whether prophylactic use of antibiotics is really necessary in elect...
Assessment of Thyroid Functions in Critically Ill Patients
Background: The thyroid function tests triiodothyronine, thyroxine and thyrotropin are abnormal in critical illness. The pattern of abnormality depends on the severity of disease and thyroidal hormones can help in progno...