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Title : COMPARISON OF INTRATHECAL BUPIVACAINE WITH ROPIVACAINE IN TWO DIFFERENT STRENGTHS FOR QUALITY OF ANAESTHESIA AND POST OPERATIVE ANALGESIA IN LOWER ABDOMEN HERNIA SURGERY
Authors : A.R. Bhure, Prasad Ingley, Ramkrishna, Neelakshi Kalita
Abstract : Subarachnoid block techniques are widely used for lower abdominal surgeries and offer several benefits compared to general anesthesia.We wanted to investigate the clinical efficacy and safety of Ropivacaine in two strengths as compared to Hyperbaric Bupivacaine for spinal anaesthesia. 90 patients ASA I & II scheduled for elective lower abdomen hernia surgery were randomly divided into 3 groups of 30 each to receive 3.4 ml of isobaric Ropivacaine 0.5% or 3.4 ml of isobaric Ropivacaine 0.75% compared with control group receiving 3.4 ml of Hyperbaric 0.5% Bupivacaine. Subarachnoid block was achieved in L3-L4 space with 23G Quincke’s spinal needle. The onset of surgical anesthesia at L1 was delayed with both the Ropivacaine groups as compared to Bupivacaine group. The total duration of analgesia was comparable in Bupivacaine and Ropivacaine 0.75% groups.The total duration of motor block was much longer with Bupivacaine group than Ropivacaine groups. To conclude intrathecal Ropivacaine in the 0.75% strength was found to be a good alternative to 0.5% Hyperbaric Bupivacaine in the terms of less haemodynamic changes, faster regression of both motor and sensory block, and for early mobilization of patient.The patients can be mobilized more quickly,as in patients of daycare surgery.

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