A comparison of plain ropivacaine 0.5% with plain bupivacaine 0.5% in spinal anaesthesia for orthopaedic surgery
| dc.contributor.author | Al-Meeri, Nasreldeen Mohamed Mosleh | |
| dc.date.accessioned | 2020-09-22T02:04:53Z | |
| dc.date.accessioned | 2020-09-22T02:04:57Z | |
| dc.date.available | 2020-09-22T02:04:53Z | |
| dc.date.available | 2020-09-22T02:04:57Z | |
| dc.date.issued | 2006 | |
| dc.description.abstract | Where as to reach Tl 0 in bupivacaine group was 6.4 minutes (SD ±3.3) and in ropivacaine group reached in 9.3 minutes (SD ±5.2) (P<O.Ol5). Regarding sensory block at T4, 20 patients (55.5%) in bupivacaine group reached this level with mean onset of sensory block in 6.9 minutes (SD ±3.7). Where as only 4 patients (11 %) in ropivacaine group were able to reach the level of T4 in 15 minutes (SD ±4.08) (P<O.OOl). The duration of sensory block was assessed by the patient's first request for analgesia. In bupivacaine group the mean duration of time of sensory block was 5.4 hours (SD ±1.2) and in ropivacaine group it was 6.5 hours (SD ±2.44) (P<0.02). The mean onset of motor block to reach Modified Bromage Score (MBS 1) in bupivacaine group was 1.4 minutes (SD ±0.8) and in ropivacaine group it was 2.1 minutes (SD ±1.5) (P<0.01). And to reach MBS2, in bupivacaine group and in ropivacaine group was 1.6 minutes (SD ±0.9) and 3.0 minutes (SD ±2.0) respectively (P<O.OOl). While to reach MBS3 bupivacaine group was 2.1 minutes (SD ±1.1) and in ropivacaine group it was 3.6 minutes (SD ±1.8) (P<O.OOI). In the bupivacaine group the mean duration of motor block was 4.7 hours (SD ±1.1) and in ropivacaine group was 3.5 hours (SD ±1.4) (P<O.OOl). CONCLUSION Ropivacaine in a dose of 15 mg as 0.5% solution can be used with an acceptable onset of sensory and motor blockade with a longer duration of analgesia and early mobilization for lower limb orthopedic surgery of duration less than three hours and a level of lower than T12 dermatome. | en_US |
| dc.identifier.uri | http://hdl.handle.net/123456789/10238 | |
| dc.language.iso | en | en_US |
| dc.publisher | Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia | en_US |
| dc.subject | Spinal | en_US |
| dc.title | A comparison of plain ropivacaine 0.5% with plain bupivacaine 0.5% in spinal anaesthesia for orthopaedic surgery | en_US |
| dc.type | Thesis | en_US |
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