Intrathecal ropivacaine with fentanyl for LSCS Comparison of hyperbaric and isobaric solution


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Article type :

Original Article

Author :

Kshitija Bhagavan Sawant, Harsha Patel

Volume :

2

Issue :

3

Abstract :

We compared the characteristics of spinal anesthesia with plain and hyperbaric ropivacaine for LSCS. Method:- In this prospective randomized double blind study 60 pregnant patient of ASA physical status1&2 were given 15mg of either isobaric ropivacaine(n=30) or hyperbaric ropivacaine(n=30) in glucose 8% along with fentanyl 25mcg intrathecally for LSCS. The characteristics of spinal anesthesia, hemodynamic parameters, quality of anesthesia and muscle relaxation as well as duration of post-operative analgesia were compared. RESULT: - There were no significant difference in median time to onset of sensory block at T6 (plain6.33±4.62 vs. hyperbaric 4.52±2.84 minutes; p>0.05), maximum sensory level achieved (plain 8.10±3.92 vs. Hyperbaric 6.63±2.47 min, p>0.05) and onset of grade 3 motor block (plain 8.20±5.38 vs. hyperbaric 6.10±2.38 minutes; p>0.05). Median maximum extent achieved was also comparable, but in group H duration of sensory (plain 206.23±24.42 vs. hyperbaric164.50±30.29 min., p

Keyword :

LSCS; Ropivacaine; Hyperbaric; Isobaric; Spinal Anaestesia.