Comparision of ropivacaine: Fentanyl and bupivacaine: Fentanyl for spinal anaesthesia for urological surgeries: TURP, TURBT, VIU
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 3970-3978
AbstractAim: To study the “comparision of intrathecal 0.75% isobaric ropivacaine with fentanyl and 0.5% hyperbaric bupivacaine with fentanyl in urologicl surgeries-TURP, TURBT, VIU” was done to evaluate effects of adding Fentanyl to Ropivacaine and Bupivacaine with regard to onset of sensory, motor blockade and time for maximum onset of sensory and motor blockade and two segment recession and duration of sensory and motor blockade.
Methodology: In patients, posted for Urological Surgeries, in Osmania general hospital, Hyderabad were chosen for the study. Sixty patient’s aged 20-60 years belonging to ASA I and II undergoing elective Urological surgeries-TURP, TURBT, VIU were randomly allocated for study (n=30) in each group. Group R (Ropivacaine) includes patent’s receiving intrathecally 0.75% Isobaric Ropivacaine 10 mg with 15 mcg Fentanyl. Group B (Bupivacaine) includes patent’s receiving intrathecally 0.5% Hyperbaric Bupivacaine 10mg with 15 mcg Fentanyl.
Results: Both the groups were comparable with regard to age, height, weight, distribution and ASA grading. The common surgeries they underwent were TURP, TURBT, and VIU. We found that there was no statistically significant variation with regard to onset of sensory and motor blockade and attainment of highest level of sensory and motor blockade. The duration of motor blockade was shorter in Ropivacaine group compared to Bupivacaine group. Patient’s maintained haemodynamic stability and no other side effects were noted.
Conclusion: On the basis of present clinical comparative study we can conclude that addition of Fentanyl to Isobaric Ropivacaine and Fentanyl to Hyperbaric Bupivacaine in Spinal Anaesthesia significantly decreased the duration of motor block in Ropivacaine group compared to Bupivacaine group. Hence it can be used as an alternate to pure Ropivacaine in Spinal Anaesthesia for transurethral surgeries.
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