Title: Epidural Ropivacaine Alone or Combined With Fentanyl in Infraumblical Surgeries: A Comparative Study
Authors: Rakesh Bahadur Singh, Dheer Singh, Manoj Kumar, Prashant K Mishra
DOI: http://dx.doi.org/10.18535/jmscr/v3i8.59
DIDS : 08.2015-XXXXXXXX
Epidural blockade is becoming one of the most useful and versatile procedures in modern anaesthesiology. We compared intensity of sensory & motor blockade, duration of analgesia and hemodynamic changes in 45 patients belonged to ASA grade-I or II, between 20 and 55 years of age, among Gr-I ( 0.75% Ropivacaine) and Gr-II (0.75% Ropivacaine + 50 mcg Fentanyl), requiring central neuraxial blockade for infraumlical surgeries. We concluded that the fentanyl when added as an adjuvant to epidural ropivacaine, significantly prolongs the analgesic duration without causing significant haemodynamic and respiratory changes. And with this combination there is no significant change in the level of sensory and motor blockade. Key words- ropivacaine, fentanyl, epidural 1. Katz JA, Bridenbaugh PO, Knarr DC, Helton SH, Denson DD. Pharmaco-dynamics and pharmacokinetics of epidural ropivacaine in humans. Anesth Analg 1990;70:16-21. 2. 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