International Journal of Medical Anesthesiology
2020, Vol. 3, Issue 3, Part A
A comparative study of epidural ropivacaine 0.2% with nalbuphine and ropivacaine 0.2% with fentanyl in unilateral total knee replacement surgeries
Author(s): Prachi Deenbandhu Shelke, Sandeep Ramchandra Nale, Jinisha Babriya and Srishti Tiwari
Abstract: Background: Total knee replacement (TKR) is associated with intense early postoperative pain. Epidural opioids have unique advantages over conventional, intermittent IV/ IM administration, in that sooner in the postoperative period.
Materials and methods: This is prospective, double blind study where twenty patients in group A received Ropivacaine 0.2% with Nalbuphine and twenty patients in group B received Ropivacaine 0.2% with Fentanyl. Patients were assessed for hemodynamic changes, VAS scores, sedation scores and side effects.
Result: There was no statistically significant difference in the baseline parameters between the two groups. Rescue analgesics required in the first 24 hours of postoperative period in group A were significantly higher (p < 0.01) when compared with group B. Nalbuphine group had a good sedative action than Fentanyl group (P=0.04).
Conclusion: Fentanyl group is better in terms of quality of postoperative analgesia, lesser incidence of side-effects and patient satisfaction.
Pages: 14-17 | Views: 311 | Downloads: 139
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How to cite this article:
Prachi Deenbandhu Shelke, Sandeep Ramchandra Nale, Jinisha Babriya, Srishti Tiwari. A comparative study of epidural ropivacaine 0.2% with nalbuphine and ropivacaine 0.2% with fentanyl in unilateral total knee replacement surgeries. Int J Med Anesthesiology 2020;3(3):14-17. DOI: 10.33545/26643766.2020.v3.i3a.140