A comparative study of Lignocaine 0.5% and Ropivacaine 0.2% for intravenous regional anesthesia for upper limb surgery.

Dr Bashir Ahmad Mir

Volume : IX, Issue : III, March - 2019

A comparative study of Lignocaine 0.5% and Ropivacaine 0.2% for intravenous regional anesthesia for upper limb surgery.

Dr Bashir Ahmad Mir

Abstract :

Background: Day care surgeries and ambulatory surgeries have number of advantages for the patient as well as for health care providers and even to hospital staff also. Regional anesthesia has been very popular in day care surgery. Intravenous regional anesthesia is one such simple and reliable technique, with success rates between 94% and 98%. Objectives: The study aimed to compare intravenous lignocaine 0.5% vs ropivacaine 0.2% in regional anesthesia for elective upper limb surgery. Material and Methods: Patients included in the study were ASA grade I and II of ages 18–65 years, undergoing elective upper limb surgery. A total of 100 patients were randomly divided into 2 groups. We compared intravenous regional anesthesia by using lignocaine 0.55 with ropivacaine 0.2% for elective upper limb surgery. A detailed history and systemic examination was done to rule out presence of major illness. Routine investigations like haemogram and urine examination was done in all patients. Results: The difference in mean time of sensory blockade between group L and R was found to be insignificant (p>0.05). The difference between mean time of onset of motor blockade between group Land R was found to be significant (p<0.05). There was no evidence of side effects after release of tourniquet in 0.2% ropivacaine group as compared to 0.5% lignocaine group. Difference between mean time of recovery from sensory blockade between L and R group was highly significant (p<0.05). Conclusion: From the observations and results of our study we conclude that 0.2% ropivacaine can be used as an alternative to 0.5% lignocaine for intravenous having just the similar onset and intensity of sensory block