Comparison of Postoperative Analgesic Effects of Epidural Ropivacaine with Butorphanol Versus Epidural Ropivacaine with Morphine in Patients Undergoing below Umblical Surgeries

Authors : Dr. P. Kavitha Sree; Dr. B. Harikrishna

Volume/Issue : Volume 8 - 2023, Issue 1 - January

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Comparison of the safety and efficacy of butorphanol(2mg ) with 0.2% ropivacaine versus morphine (3mg ) with 0.2%ropivacaine by epidural route for providing postoperative analgesia in patients undergoing below umbilical surgeries. Methodology: The patients were allotted randomly into 2 groups. One group (Group RB) received 0.2% of Ropivacaine and 2mg of Butorphanol epidurally and another group (Group RM) received 0.2% Ropivacaineand 3mg of Morphine epidurally. In the postoperative period, when the patients complained of pain, the intensity of pain was assessed using the VAS scale The pain intensity was assessed by VAS score at 0, 15, 30, 60 minutes, 2, 4, 6, 8, 10 and 12 hours after epidural injection, onset of analgesia, duration of analgesia, Systolic blood pressure, diastolic blood pressure, pulse rate, and respiratory rate were recorded at 0, 15, 30, 60 minutes, 2, 4, 6, 8,10 and 12 hours after epidural injection. SpO2 monitored continuously. Results: The average onset time of analgesia of group RB was 12.34 ±1.18 minutes and the meantime of onset of analgesia in group RM was 15.56 ±1.14 minutes. The mean duration of analgesia was 251±42.68 minutes in group RB and the mean duration of analgesia was 355.4 ± 68.1 minutes in group RM. Conclusion: Butorphanol (2mg) with 0.2% ropivacaine provided faster onset of analgesia and shorter duration of analgesia than with morphine(3mg) with 0.2% ropivacaine.

Keywords : Epidural, ropivacaine, butorphanol, morphine, post operative analgesia


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29 - February - 2024

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