|
[Abstract] [PDF] [HTML] [Linked
References]
MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 6, June 2014 pp 267-271
Research Article
Hemodynamic changes of intrathecal hyperbaric ropivacaine and bupivacaine in Lower abdominal surgeries- a comparative study
K. Hari Prasad
Assistant Professor, Department of Anaesthesiology, Critical care and pain management, Shri Muthukumaran Medical College, Hospital and Research Institute, Chikkarayapuram, Kunrathur Road, Near Mangadu, Chennai, Tamil Nadu, INDIA.
Abstract
Introduction: Various drugs have been tried till date to get better anesthetic properties and minimal side effect. The newer drug Ropivacaine being comparatively less cardio toxic, also produces minimal motor blockade of shorter duration which relieves the psychological distress of being immobile for a longer period of time after surgery compared to intrathecal Bupivacaine during lower abdomen and lower limb surgeries. Aims and objectives: to compare the hemodynamic changes of intrathecal hyperbaric ropivacaine and bupivacaine in Lower abdominal surgeries. Material and methods: In the present study two groups were compared undergoing Lower abdominal surgeries. Group R received 3ml of 0.5 % hyperbaric ropivacaine and group B received 3ml of 0.5% hyperbaric bupivacaine. Monitoring of vitals and observation for the block parameters were carried out and was compared between these two groups. Results: It was observed that the mean age, weight and height of the patients in the both the groups (ropivacaine and bupivacaine) were comparable. Ropivacaine has longer onset of action compared to bupivcaine. Ropivacaine had a significant lesser degree of motor blockade compared to bupivacaine. There was no significant difference regarding haemodynamic change while comparing both the groups. Conclusion: Thus from the above discussion we could conclude that ropivacaine has better hemodynamic stability as compared to bupivacaine group. And it can be used more efficiently in short surgical procedures.
|
