Online ISSN: 2515-8260

Effects of Intrathecal Isobaric Ropivacaine with Fentanyl Versus, Hyperbaric Bupivacaine with Fentanyl in Elective Inguinal Hernia Surgeries

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Shreyas S1 , Sachin Totawar2 , Kalyani Malshetwar3

Abstract

Introduction: Regional Anaesthesia is the most common and preferred technique for elective inguinal hernia surgeries. The most commonly used anaesthetic agent for spinal anaesthesia are Lidocaine and Bupivacaine. Ropivacaine is an alternative to Bupivacaine due to its lesser degree and duration of motor blockade, good hemodynamical stability and lesser systemic toxicity. Hence this study was conducted to find out the efficacy and side effect profile of the Ropivacaine against the bupivacaine for elective inguinal surgery as part of day care surgery. Material and Methods: This present study was a prospective study conducted at tertiary health care hospital on 80 patients undergoing elective inguinal hernia surgery divided into two groups, Group R – receives 3 ml of isobaric ropivacaine 0.5% with 0.5 ml of Fentanyl which contains 25 micrograms and Group B – receives 3 ml of hyperbaric bupivacaine 0.5% with 0.5 ml of fentanyl which contains 25 micrograms. Sensory and motor blockade were assessed along with duration and the analgesia. Results: Onset of sensory blockade was delayed in ropivacaine group. Maximum height of sensory blockade was found to be same in both groups. The time taken to achieve maximum height of sensory blockade was significantly increased in ropivacaine group. Onset of motor blockade was delayed in ropivacaine as compared to bupivacaine and it was statistically significant. The two-segment regression time was less in case of ropivacaine as compared to bupivacaine which was statistically significant. Duration of sensory blockade was more with bupivacaine as compared to ropivacaine. The duration of motor blockade was less in ropivacaine as compared to bupivacaine. Conclusion: Ropivacaine along with fentanyl is a good alternative for bupivacaine and fentanyl as it has shorter duration of action with lesser motor block resulting in early ambulation for elective inguinal hernia surgeries.

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