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Research Paper | Anaesthesiology | India | Volume 9 Issue 8, August 2020
A Randomized Double Blind Controlled Interventional Study of Intrathecal Ropivacaine (0.75%) Alone or Ropivacaine (0.75%) with Fentanyl as Adjuvant in Lower Limb Surgeries under Spinal Anaesthesia
Dr Kanchan Chauhan | Dr Satyendra Pancholi | Dr Amit Mangal
Abstract: BACKGROUND AND AIM: Postoperative pain is a well known morbidity and causes distress to the patients. Aim of this study was to assess the clinical efficacy of 3 ml of 0.75 % ropivacaine alone versus ropivacaine with 25mcg fentanyl in spinal anaesthesia for lower limb surgeries in terms of duration of analgesia, sensory and motor block characteristics, haemodynamic profile and complications. METHODS: This study was conducted in a randomized double blind fashion on 80 ASA physical status I-II patients scheduled for lower limb surgeries. They were randomized into two groups of 40 patients in each group using sealed envelope technique. GROUP A: Patients received 3 ml 0.75 % Isobaric Ropivacaine hydrochloride GROUP B: Patients received 3ml 0.75 % Isobaric Ropivacaine with 25µg Fentanyl hydrochloride. We evaluated whether addition of fentanyl to intrathecal ropivacaine could make a significant effect on onset and duration of analgesia, sensory and motor block. RESULTS: Isobaric Ropivacaine 3 ml 0.75 % alone and with fentanyl (25mcg) in spinal anaesthesia produced effective sensory-motor blockade of sufficient duration with stable hemodynamic profile to accomplish lower limb surgeries. Addition of fentanyl to Isobaric 0.75 % Ropivacaine prolonged the duration of analgesia and sensory block, without affecting sympathetic or motor block characteristics. CONCLUSION: Addition of fentanyl to ropivacaine prolongs the duration of sensory block with stable hemodynamics and minimal side effects.
Keywords: Lower limb surgeries, Isobaric Ropivacaine, Fentanyl, Spinal Anaesthesia
Edition: Volume 9 Issue 8, August 2020,
Pages: 1422 - 1426
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Research Paper, Anaesthesiology, India, Volume 11 Issue 5, May 2022
Pages: 1191 - 1195Comparative Study of Intravenous Fentanyl Vs Nebulisation Fentanyl for Postoperative Analgesia in Patients Undergoing Lower Limb Surgeries - A Randomised Controlled Study
Dr. Thillai Arasu | Dr. Pradeep Charan | Dr. Arun Satish | Dr. S. P. Chittora [3]
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Analysis Study Research Paper, Anaesthesiology, India, Volume 12 Issue 3, March 2023
Pages: 1791 - 1794A Study on Factors Determining the Difficulty in Subarachnoid Block in Patients Undergoing Lower Limb Surgeries
P. Greeshma Teja [2] | Guru Venkata Siva Prasad .B | Anusha M. S. | P. Mounika [3] | Aswin M [3]