Clinical efficacy of isobaric ropivacaine alone, ropivacaine-fentanyl and ropivacaine-dexmedetomidine in spinal anaesthesia for vaginal hysterectomy: A prospective randomized double-blind comparative study
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 1
Abstract
Background: Around 40% of parous woman have problem of Pelvic organ prolapsed (POP) and it effects their life quality. Regional anaesthesia has good patient and surgeon acceptability as well as early discharge of the patient from the hospital. However there is limited data available in which ropivacaine alone and with fentanyl or dexmedetomidine has been used in SAB for vaginal hysterectomy in which there is more extensive surgery, needing more relaxation than above mentioned surgeries. This prompted us to plan present study. Objectives: Spinal anaesthesia with isobaric Ropivacaine alone (Group R), isobaric Ropivacaine with fentanyl (Group RF) and isobaric Ropivacaine with dexmedetomidine (Group RD) for vaginal hysterectomy was compared regarding: Onset, duration and extent duration of sensory and motor block. Methods: A double-blind comparative study was conducted with one hundred and five patients at Panna Dhai Mahila Chikitsalya, R.N.T. Medical College, Udaipur, Rajasthan. After applying inclusion and exclusion criteria participants who are ready to give written consent to participate in study are randomly divided in three groups and as per study protocol they were given anaesthesia and assessed for outcome. Results: Our study participants had comparable physical profile. In present study onset of sensory block was significantly shorter in Group RF and Group RD as compared to Group R. Sensory level of T4 was achieved in all patients of group RF, whereas range of T4 to T6 was achieved in Group R and Group RD. Duration of motor block was comparatively longer in Group RD as compared to other two groups. Conclusions: In all three group spinal anaesthesia produces sensory and motor blockade of sufficient duration with stable hemodynamic profile to accomplish vaginal hysterectomy.
Authors and Affiliations
Rekha Bayer, Devendra Verma
Keywords
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- EP ID EP556023
- DOI 10.26611/10151011
- Views 150
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