1Associate Professor, Department of anesthesia , C.U. Shah medical college, Surendranagar, Email- upadhyaya.nb@rediffmail.com, Mobile: 9879587444
22nd year resident, Department of anesthesia, C.U. Shah medical college, Surendranagar
31st year resident, Department of anesthesia, C.U. Shah medical college, Surendranagar, Email: drnmrathod@gmail.com, Mobile: 8128652117
4Professor & Head, Department of anesthesia, C.U. Shah medical college, Surendranagar
5Tutor, Department of anesthesia, C.U. Shah medical college, Surendranagar
6Assistant Prof., Department of Physiology, C.U. Shah medical college, Surendranagar, Emaild rkomalmakwana@gmail.com, Mobile: 8128652118
The spinal anesthesia is associated with heamodynamic instability and its consequences in very high risk ASA grade 3 and 4 patients posted for ORIF in fracture neck femur and intertrochanteric fracture. Isobaric ropivacaine has better heamodynamic stability compare to hyperbaric bupivacaine in spinal anesthesia. Regional anesthesia in form of lumbar and sacral plexus block has its own limitations
Optimal dose of isobaric ropivacaine spinal anesthesia for patient safety
In our comparative observational study 25 patients of ASA grade 3 and ASA grade 4 taken in each group of age above 55 years. In group A Inj. ropivacaine 1.5 cc of 0.75% isobaric, and in Group-B Inj. ropivacaine 2.5 cc of 0.75% isobaric given L3-L4 interspace Intrathecal with spinal needle no 25 along with epidural catheter insertion. All hemodynamic parameter recorded like pulse, systolic blood pressure, diastolic blood pressure at 5, 10, 15 min interval.
With using unpaired t test and p value indicate, there is no advantage of very low dose of ropivacaine intrathecally for hemodynamic stability in very high risk group of patients. Study indicate there are no advantages of using very low dose of intrathecall ropivacaine in high-risk group A patients Vs group B patients.
There is no advantage of very low dose of ropivacaine intrathecally for hemodynamic stability in very high group of patients
isobaric ropivacaine, spinal anesthesia, hemodynamic stability
