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Research Paper | Anaesthesiology | India | Volume 13 Issue 5, May 2024 | Rating: 7.8 / 10
A Clinical Study about the Efficacy of Epidural Ropivacaine 0.75% and Bupivacaine 0.5% in Lower Abdominal and Lower Limb Surgeries
Dr. Yegireddi Charanya | Dr. Rakesh Chintalapudi
Abstract: Background: A prospective randomized clinical study was conducted to study the efficacy of ropivacaine and bupivacaine epidurally for lower abdominal and lower limb surgeries. Methods: 100 patients aged between 18 to 70 years were randomized into two groups. n = 50 in each group. Group A received 20ml of 0.75% Ropivacaine and Group B 20ml of 0.5% Bupivacaine. epidural anesthesia procedure was standardized. onset of sensory and motor blockade, statistical comparison of onset of sensory and motor blockade, Degree of motor blockade, Bromage scale was compared between the two groups. Results: Onset and regression of sensory blockade with ropivacaine & bupivacaine. This was not clinically significant with p value of 0.9188. onset of motor blockade in bupivacaine group was faster with a p value of 0.0001 which was statistically significant. Degree of motor blockade was denser in group B than group R. Hemodynamic changes at various time intervals were similar in both groups B and R. Conclusion: Hence This study concludes that the onset of sensory blockade was similar in both. onset of motor blockade was delayed in Ropivacaine. The degree of motor blockade was much denser in Bupivacaine. Cardiovascular stability was observed more with Ropivacaine.
Keywords: epidural bupivacaine & ropivacaine, lower abdominal, lower limb surgeries
Edition: Volume 13 Issue 5, May 2024,
Pages: 459 - 461