Online ISSN: 2515-8260

Keywords : Local Anesthesia


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

Shreyas S Shreyas S; Sachin Totawar; Kalyani Malshetwar

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 4200-4209

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

Assessment Of Efficacy Of Lignocaine, Ropivacaine, And Bupivacaine In Control Of Pain During Extraction Of Mandibular Posterior Teeth

Dr. Aditya Shrivastava; Dr.Arpit Shrivastava

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 1775-1779

Background: Intraoperative pain control by means of local anesthesia is an intrinsic part of clinical practice in oral surgery. The present study compared efficacy of lignocaine, ropivacaine, and bupivacaine in control of pain during extraction of mandibular posterior teeth.
Materials & Methods: 90 patients of mandibular third molar surgical extractions of both genders were divided into 3 groups. Group I was third molar surgeries performed using 2% lignocaine with 1: 80,000 epinephrine, group II underwent surgical extractions of mandibular third molars under 0.75% ropivacaine local anesthesia. Group III were given bupivacaine. Each group has 30 patients. Subject response for pain was recorded using visual Analog Scale (VAS) and verbal Rating scale (VRS).
Results: Group I had 16 males and 14 females, group II had 15 males and 15 females and group III had 13 males and 17 females. VAS showed no pain in 20, 25 and 22, minimal pain in 10, 5 and 8. VRS showed little pain in 18, 28 and 20, moderate pain in 9, 2 and 10, severe pain in 2 and extreme pain in 1 respectively. The difference was significant (P< 0.05).
Conclusion: 0.75% ropivacaine is a better anesthetic when compared to bupivacaine and lignocaine for pain control during third molar extractions.

PAIN PERCEPTION IN DIFFERENT INJECTION TECHNIQUES IN PAEDIATRIC DENTISTRY: AN ORIGINAL RESEARCH

Dr. Arjun Sreenivas; Dr. Anju S Raj; Dr. Veronica Rose Puthenpurackal; Dr. Teena Haneef; Dr. Gadha R Pillai; Dr. Deepak Jose; Dr. Greeshma SG

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 3049-3055

Aim: To evaluate and compare the pain perception by the pediatric patients, while experiencing computerized injection device computerized syringe and the conventional injection technique during dental clinical procedures
Methodology: Forty children aged 10‑14 years requiring local anaesthesia on two sides of the dental arch were included in the study. The patients served as their own control, and on the appointed day through computerized injection technique local anesthesia was injected and on the second day, anesthesia was achieved with the help of traditional method. Visual analogue scale (VAS) and faces pain rating scale (FRS) were used to evaluate pain perception of pediatric patients. Along with this, various other physiological parameters were also taken into consideration.
Results: Paired t‑test discovered a statistically significant variance in the pain acuity in pediatric patients using VAS and FRS scales to compare amid computerized and conventional technique. No statistically significant difference was observed when physiological parameters (heart rate, blood pressure) were compared at various intervals
between the computerized and the conventional technique
Conclusion: Computerized controlled injection technique provides less painful injections when compared to the conventional injection technique.