What is it about?
Plain Ropivacaine and Ropivacaine Plus Fentanyl in Laparoscopic Surgery Via Intraperitoneal Route
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Why is it important?
Objective: To compare the analgesia, sedation and use of rescue analgesics after intra-peritoneal instillation of 0.2% plain ropivacaine versus 0.2% ropivacaine plus fentanyl in laparoscopic surgeries. Method: A double blind prospective randomized study was carried out in 100 ASA grade1 and grade 2 patients undergoing laparo-scopic surgeries. They were divided into 2 equal groups. One group (Group A) received plain ropivacaine 0.2% 2mg/kg while other group (Group B) received ropivaine 0.2% 2mg/kg plus fentanyl 2microgm/kg via intraperitoneal route before removal of trocar at the end of surgery. Visual analogue scale and Ramsay sedation score were used to assess postoperative pain and sedation at every 2 hour for first 12 hours, then 6 hourly till 24 hours and then 12 hourly for total of 48 h after surgery. The time of rescue analgesics was also compared between the two groups. Result: The demographic data was comparable between the two groups in terms of age, sex, weight and duration of surgery. The p value was significant between the two groups in terms of Visual analogue scale and Ramsay sedation score. Group B showed better postoperative pain relief and sedation as compared to group A. Also there was less need of rescue analgesia in group B in comparison to group A. Conclusion: intraperitoneal ropivacaine plus fentanyl gives better postoperative pain relief, sedation and less use of other rescue analgesics compared to plain ropivaine in laproscopic surgeries.
Perspectives
Objective: To compare the analgesia, sedation and use of rescue analgesics after intra-peritoneal instillation of 0.2% plain ropivacaine versus 0.2% ropivacaine plus fentanyl in laparoscopic surgeries. Method: A double blind prospective randomized study was carried out in 100 ASA grade1 and grade 2 patients undergoing laparo-scopic surgeries. They were divided into 2 equal groups. One group (Group A) received plain ropivacaine 0.2% 2mg/kg while other group (Group B) received ropivaine 0.2% 2mg/kg plus fentanyl 2microgm/kg via intraperitoneal route before removal of trocar at the end of surgery. Visual analogue scale and Ramsay sedation score were used to assess postoperative pain and sedation at every 2 hour for first 12 hours, then 6 hourly till 24 hours and then 12 hourly for total of 48 h after surgery. The time of rescue analgesics was also compared between the two groups. Result: The demographic data was comparable between the two groups in terms of age, sex, weight and duration of surgery. The p value was significant between the two groups in terms of Visual analogue scale and Ramsay sedation score. Group B showed better postoperative pain relief and sedation as compared to group A. Also there was less need of rescue analgesia in group B in comparison to group A. Conclusion: intraperitoneal ropivacaine plus fentanyl gives better postoperative pain relief, sedation and less use of other rescue analgesics compared to plain ropivaine in laproscopic surgeries.
Red Flower Publication Publications
Red Flower Publication Pvt Ltd
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This page is a summary of: A Comparative Study between Plain Ropivacaine and Ropivacaine Plus Fentanyl in Laparoscopic Surgery Via Intraperitoneal Route, Indian Journal of Anaesthesia and Analgesia, January 2015, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.2215.5.
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