A Comparative Study of Intrathecal Ropivacaine-Fentanyl versus Levobupivacaine-Fentanyl in Adult Patients Undergoing Planned Inguinal Hernioplasty

Academia Anesthesiologica International

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Title A Comparative Study of Intrathecal Ropivacaine-Fentanyl versus Levobupivacaine-Fentanyl in Adult Patients Undergoing Planned Inguinal Hernioplasty
 
Creator Patel, Khushbu
Modi, Komal
 
Subject Isobaric
Ropivacaine
Levobupivacaine
Spinal anaesthesia
Hernioplasty
 
Description Introduction: Levobupivacaine and Ropivacaine are S-enantiomer of Bupivacaine and have less cardiac toxicity than Bupivacaine. Very few studies have compared these two cardio-stable drugs with Fentanyl as an adjuvant in spinal blockade. The objective is to evaluate the char- acteristics of spinal anaesthesia with equipotent doses of intrathecal Levobupivacaine-Fentanyl versus Ropivacaine-Fentanyl. Subjects and Method: 80 adult patients, ASA I and II undergoing hernioplasty under subarachnoid block were arbitrarily owed to Group LF (n=40) to get intrathecally 3.0 ml of 0.5% Isobaric Levobupivacaine + 25µg Fentanyl and Group RF(n=40) to receive 3 ml of 0.5 % Isobaric Ropivacaine+ 25 µg Fentanyl. The onset, peak effect and duration of sensory and motor block, effective analgesia were noted. Result: No significant dissimilarity among demographic parameters and the haemodynamic parameters. Onset of sensory block was earlier in group RF (1.49 0.45min) than Group LF (2.17 0.45min),p<0.01. Period of effective analgesia was considerably larger in group LF (270.92 15.94min) than group RF (193.52 16.94min), Conclusion: Intrathecal use of Isobaric Ropivacaine-Fentanyl produced early onset of sensory block but period of effective analgesia was longer in Levobupivacaine-Fentanyl group.
 
Publisher Society for Health Care & Research Development
 
Date 2021-06-05
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/xml
text/html
application/epub+zip
 
Identifier https://aijournals.com/index.php/aan/article/view/1954
 
Source Academia Anesthesiologica International; Vol 6 No 1 (2021): January-June 2021; 96-100
2456-7388
2617-5479
 
Language eng
 
Relation https://aijournals.com/index.php/aan/article/view/1954/2296
https://aijournals.com/index.php/aan/article/view/1954/2297
https://aijournals.com/index.php/aan/article/view/1954/2298
https://aijournals.com/index.php/aan/article/view/1954/2299
 
Rights Copyright (c) 2021 Author
https://creativecommons.org/licenses/by/4.0/
 

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