Prem Kumar, K G (2013) A Comparative study of Bupivacaine and Ropivacaine in Spinal Anaesthesia in Children for Infraumblical Surgeries: A Study of 60 Cases. Masters thesis, Madurai Medical College, Madurai.
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Abstract
This is a randomized controlled study involving 60 cases of children of age between 7 and 12 years posted for elective infraumblical surgeries under spinal anaeshesia. They are allotted into two groups, Group R receiving 0.5% ropivacaine and Group B receiving 0.5% bupivcaine. The following parameters are noted in the study periods. The onset of sensory block, maximum height of sensory block, time taken to reach the maximum height of sensory block, two segment regression time, onset of motor block, mean duration of sensory & motor block and quality of block. The hemodynamic parameters noted are pulse rate, systolic and diastolic blood pressure, oxygen saturation with pulse oximeters. The use of atropine and vasopressors are noted. Any complications during the study are also noted. According to the study, there was significant delay in onset of sensory and motor block in ropivacaine group. There was earlier two segment regression time in ropivacaine group. There was earlier offset of sensory and motor block and time taken for micturition was earlier in ropivacaine group. The quality of block was adequate in both groups. The hemodynamic parameters were well maintained in both groups. Thus ropivacaine provides a good alternative to bupivacaine in case of short duration of surgeries. It is more suitable in cases of ambulatory surgeries where the patients meet the discharge criteria earlier and can be discharged from the hospital. CONCLUSION: Ropivacaine used for spinal anaesthesia in children has delayed onset of sensory and motor block. It also has faster offset of sensory and motor block with adequate quality of block compared to that of bupivacaine. It is concluded that Ropivacaine can be used as a good alternative to Bupivacaine in case of shorter duration of surgeries especially in ambulatory setup.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Bupivacaine, Ropivacaine, Spinal Anaesthesia, Children, Infraumblical Surgeries, 60 Cases, Comparative study. |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Subramani R |
| Date Deposited: | 08 May 2018 19:39 |
| Last Modified: | 25 Mar 2020 16:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7662 |
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