Title: Prospective Randomized Study to Compare the Motor Recovery with Epidural Analgesia using 0.2% Ropivacaine and 0.175% Bupivacaine in Abdominal Surgery
Authors: S. R. Karthick, Satish Logidasan, Kanimozhi R3, Arulraj G.P, Karthik.A, S Prasana Vathanan, Ambal S, C Sathish, A Gowri Shankar
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.175
Abstract
A combination of 0.2% ropivacaine with 2 µg/ml fentanyl can be very well used as postoperative analgesic regimen in major abdominal surgeries as it provides a clear balance between analgesia and motor blockade.In this prospective randomised comparative study conducted in 100 patients, the postoperative pain relief and motor recovery with epidural analgesia using 0.2% ropivacaine with fentanyl and 0.175% bupivacaine with fentanyl in major abdominal surgeries were compared.
Group R: Patients receiving ropivacaine and fentanyl epidurally
Group B: Patients receiving bupivacaine and fentanyl epidurally
0.2% Ropivacaine with fentanyl group offers good postoperative pain relief comparable to Bupivacine and better motor recovery than 0.175% Bupivacaine in epidural analgesia. No adverse reactions and complications were noted. Secondary outcomes like Postoperative Nausea and vomitting , Rescue Analgesic requirement , Patient Satisfaction, Occurence of side effects were comparable in both the groups.
Keywords: Ropivacaine, Epidural analgesia, postoperative pain relief.
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