Volume : 7, Issue : 2, February - 2018

Comparative study of two combinations of ropivacaine and fentanyl for postoperative pain relief after umblical and lower abdominal surgeries

Dr. Nidhi Asati, Dr Amit Jain, Dr Nitish Nayak, Dr K K Arora

Abstract :

Objectives: Ropivacaine has been used, either alone or with local anesthetics, for  epidural analgesia. This study was undertaken to compare quality and safety of two combinations of epidural ropivacaine with fentanyl  for providing postoperative analgesia for 48 hours after umblical and lower abdominal surgeries .<o:p></o:p> Methodology: In a prospective randomized, controlled study, 70 patients age group between 20-60 years, of either gender, scheduled for routine umblical and lower abdominal surgeries were randomly distributed into two groups of 35 patients each. Postoperatively, two combinations of ropivacaine and fentanyl[group 1 ropivacaine .2% and fentanyl 4 µg and group 2 ropivacaine .1% and fentanyl 2 µg ]  for postoperative pain relief, diluted in 10 ml of normal saline was injected in the  epidural space (between L2 –L3 space) through the catheter and then repeated 6 hourly. Pain intensity score, onset of analgesia,number of top-ups required andoverall patient satisfaction score were recorded.<o:p></o:p> Results: Mean onset of analgesia was 10.31 ± 1.5 min with  group 1 as against 11.23 ± 1.2 min with  group 2 . Pain Intensity (PPI) score ≤ 1 was observed in 68.21% observations belonging to  group 1 and in 60 % observations belonging to  group 2. Twenty five patients (71.4%) from  group 1 and 30 patients (85.7%) from f group 2 required rescue analgesia. The patient’s feedback on pain relief was graded as very good or good by 78.5% of the patients in Group-1 and 69% patients in Group-2.<o:p></o:p> Conclusion: Though both drug combinations  are equally safe, group 1 concentration is faster acting, more potent and efficient analgesic than group 2 when used for postoperative pain relief in umblical and lower abdominal surgeries.Howevermotor power was better preserved in group 2<o:p></o:p>

Keywords :

epidural; Postoperative analgesia; Fentanyl; Ropivacaine Motor Block

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

Dr. Nidhi Asati, Dr Amit Jain, Dr Nitish Nayak, Dr K K Arora, Comparative study of two combinations of ropivacaine and fentanyl for postoperative pain relief after umblical and lower abdominal surgeries, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-7, ISSUE-2, FEBRUARY-2018