A Comparative Evaluation of Ropivacaine in Two Different Concentrations 0.2% & 0.25% with Lignocaine 0.5% in Intravenous Regional Anaesthesia.

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Date
2016-04
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Abstract
The present study was undertaken to compare the efficacy of Lignocaine 0.5% with Ropivacaine 0.2 & 0.25% in IVRA. 90 patients of ASA grade I & II, between 20 to 50 years of either sex undergoing forearm surgery lasting less than 1 hour were taken and divided into 3 groups of 30 patients in each group. Double pneumatic tourniquet was placed on affected arm and arm was elevated for 2 minutes and exanguinated with esmarch bandage. Proximal cuff was inflated 100mlHg above the systolic pressure and the drug was given. After 10 minutes, distal cuff was inflated and proximal cuff was deflated. There was a highly significant difference between onset of sensory and motor block in Group I & II, Group I & Group III. Sensory and motor recovery time had highly significant difference between Group I & II, Group I & III. There was a highly significant difference regarding duration of analgesia among the three groups with Group I with least duration and Group III with maximum duration of analgesia. In our study Ropivacaine with two different concentrations 0.2% and 0.25% provided good quality of intra-operative analgesia, delayed motor and sensory blockade and prolonged duration of analgesia as compared to lignocaine 0.5%.
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Keywords
IVRA, Lignocaine, Ropivacaine
Citation
Jyoti Khanna, Amrita Koul, BB Kapoor. A Comparative Evaluation of Ropivacaine in Two Different Concentrations 0.2% & 0.25% with Lignocaine 0.5% in Intravenous Regional Anaesthesia. JK Science Journal of Medical Education and Research. 2016 Apr-Jun;18(2): 93-97.