Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Study of Intrathecal Ropivacaine with Fentanyl Versus Bupivacaine with Fentanyl in Lower Abdominal Surgeries and Lower Limb Surgeries
Ragha Deepti Kilambi, P. Ram Manohar Reddy and G. Srinivasa Rao
Page: 248-254 | Received 19 Oct 2024, Published online: 06 Dec 2024
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Abstract
The subarachanoid block is a common technique of anaesthesia for patients undergoing lower abdominal and lower limb surgeries. Adjuvant drugs improve quality and prolong spinal blockade. Present study was aimed to compare intrathecal ropivacaine with fentanyl versus bupivacaine with fentanyl in lower abdominal surgeries and lower limb surgeries. Present study was single‐center, comparative study, conducted in patients from age group of 18‐60 yrs of either sex, with ASA physical status scores I and II, posted for elective lower abdominal, lower extremity, gynecological or urological surgeries under spinal anaesthesia., willing to participate in present study. Patients were allotted randomly into 2 groups as Group "RF" and Group "BF". The current study was conducted on 60 patients, randomized into 2 groups. Mean age, gender, mean body weight, mean height, ASA grade and duration of surgery were comparable in both groups and no statistically significant difference was noted. The two groups were comparable with respect to peak sensory level (T4) attained, time to reach peak sensory level was slightly higher in group BF but difference was statistically not significant (p>0.05). The mean time to reach peak motor block was higher in group RF, mean for two segment sensory regression in group RF was less, patients in group RF have lesser mean time for motor regression to Bromage Grade 1, duration of analgesia in Group BF was slightly more and difference was statistically significant. (p<0.05). Intrathecal administration of Ropivacaine +Fentanyl provides adequate anaesthesia with hemodynamic stability. Also, it has a faster onset time and faster regression time of the sensory block, delayed onset time but comparable regression of motor block to Bromage grade 1 and shorter time is taken for analgesia as compared to intrathecal bupivacaine‐fentanyl which will be beneficial for early ambulation.
How to cite this article:
Ragha Deepti Kilambi, P. Ram Manohar Reddy and G. Srinivasa Rao. Comparative Study of Intrathecal Ropivacaine with Fentanyl Versus Bupivacaine with Fentanyl in Lower Abdominal Surgeries and Lower Limb Surgeries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.248.254
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.248.254