INTRATHECAL 0.5% BUPIVACAINE VS 2-CHLOROPROCAINE FOR SHORT GYNAECOLOGICAL PROCEDURES

Dr Rashmi Bengali; Dr Nidhi Chitravanshi

Volume : IX, Issue : IV, April - 2020

INTRATHECAL 0.5% BUPIVACAINE VS 2-CHLOROPROCAINE FOR SHORT GYNAECOLOGICAL PROCEDURES

Dr Rashmi Bengali, Dr Nidhi Chitravanshi

Abstract :

A study was designed with intrathecal Bupivacaine to compare with 2-Chloroprocaine for short gynecological surgeries. AIMS AND OBJECTIVES: To compare onset and duration of sensory and motor block and their effect on the hemodynamic status of the patients intraoperatively and to compare any post-operative complications MATERIAL AND METHOD: Randomized, prospective single-blind clinical trial was undertaken with 60 ASA Grade I and II patients aged between 18 to 30 years, BMI < 22kg/m2, posted for short gynaecological procedures were divided in two groups. Group B – Patients received intrathecal 0.5% Bupivacaine 3ml. Group C- Patients received intrathecal1% preservative free 2-Chloroprocaine 3ml. Patients were observed for onset, duration of sensory and motor block. Post-operative analgesia was measured. Result: Onset of sensory block was similar with either drug but onset of motor block was faster with Bupivacaine. Duration of sensory and motor block was shorter in Chloroprocaine group. Post-operative analgesia was longer in the Bupivacaine group. Early ambulation was seen with Chloroprocaine. Conclusion: Chloroprocaine is more hemodynamically stable than Bupivacaine to be used for short gynecological day care procedures.