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Comparison of 0.5% Bupivacaine and Dexamethasone with 0.75% Ropivacaine and Dexamethasone in Peribulbar Block for Small Incision Cataract Surgery: A Prospective Randomized Study

Nishant Agrawal, Post Graduate, Department of Anaesthesia, S.S. Institute of Medical Science and Research Centre, Davangere, Karnataka 577005, India. , Arun Kumar1 , Nishant Agrawal2 , Shantala Arun Kumar3

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Indian Journal of Anesthesia and Analgesia 5(12):p 2094-2097, November 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51218.19

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Abstract

  Objective: To compare the anaesthetic efficacy and postoperative analgesia of 0.75% ropivacaine and 2mg dexamethasone with 0.5% bupivacaine and 2mg dexamethasone in peribulbar block for patients undergoing small incision cataract surgery. Methods: 50 patients were divided into 2 groups of 25 each and were randomized to receive peribulbar anaesthesia using 0.5% bupivacaine and 2mg dexamethasone in group I and 0.75% ropivacaine and 2mg dexamethasone in group II. The patients were compared for the duration of akinesia and postoperative analgesia. Results: Akinesia was achieved slower in group I (14.12±2.99 mins) when compared to group II (8.24± 1.05 mins) which was statistically significant. Group I showed significantly longer postoperative akinesia (2.52±0.51 hours) than group II (0.77±0.12 hours). Also the VAS scores were significantly lower at 1 hour in group I (2.94±0.54) when compared to group II (4.96±0.89). Conclusion: Ropivacaine and dexamethasone showed faster onset of akinesia but bupivacaine and dexamethasone showed prolonged postoperative akinesia, better postoperative analgesia and prolonged time to first recue analgesic. 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51218.19

Keywords

Bupivacaine; Ropivacaine; Dexamethasone; Peribulbar Block

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