A STUDY ON THE COMPARATIVE EFFECTS OF EPIDURAL BUPIVACAINE AND EPIDURAL ROPIVACAINE IN COMBINED SPINAL AND EPIDURAL ANESTHESIA FOR JOINT REPLACEMENT AND LOWER LIMB SURGERIES
Ashiq Hussain*, Dr. Abhishek Gupta, Dr. Pankaj Koul and Dr. Ajay Singh
ABSTRACT
Background: Epidural Bupivacaine and Epidural Ropivacaine are considered as rescue drugs for postoperative Analgesia in patients undergoing unilateral joint replacement and lower limb surgeries. This work aims to find the use of epidural Ropivacaine and Bupivacaine for joint replacement and lower limb surgeries. Methods: This ranadomzed controlled trial was carried out on 50 surgical patients of age 40-60 years and weight of 40-70 kg for unilateral joint replacement and lower limb surgeries. Patients were divided into two groups - Epidural Ropivacaine was given in one of the groups and Epidural Bupivacaine was given to patients of other group. Results: Demographic variables including age, weight, gender distribution, ASA Grade were comparable between the Epidural Ropivacaine and Epidural Bupivacaine groups in a comparative study between Epidural Ropivacaine and Epidural Bupivacaine, Epidural Bupivacaine demonstrated the increased period of analgesia compared to Ropivacaine, Bupivacaine was effective up to 7 hours after administration and thus cost effective for surgeries that are anticipated to cause prolonged pain. Conclusion: Bupivacaine can be used successfully in patients undergoing unilateral joint replacement and lower limb surgeries as it provides Analgesia for long time as compared to Bupivacaine in unilateral joint replacement and lower limb surgeries.
Keywords: Combined spinal Epidural Anesthesia, Epidural Ropivacaine, Epidural Bupivacaine, Unilateral joint replacement surgeries, Rescue analgesia.
[Full Text Article]
[Download Certificate]
Impact Factor : 8.181 
