Comparative evaluation of 0.5% ropivacaine and 0.5% bupivacaine for day case inguinal herniorrhaphy in a Nigerian tertiary hospital.

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dc.contributor.authorBolaji, Benjamin olusomi
dc.contributor.authorYusuf, IF
dc.contributor.authorRahman, Ganiyu Alege
dc.contributor.authorKuranga, Sulyman Alege
dc.contributor.authorOyedepo, Olanrewaju Olubukola
dc.date.accessioned2018-06-01T10:51:10Z
dc.date.available2018-06-01T10:51:10Z
dc.date.issued2010
dc.description.abstractBACKGROUND: Day case inguinal herniorrhaphy is a common surgical procedure performed in our environment with lidocaine used for field block. The study was aimed at comparing 0.5% ropivacaine and 0.5% bupivacaine for the field block, determine their effectiveness and safety in our environment. METHODS: In a double-blind randomized study, 52 ASA physical status I-II patients (age ≥ 18yrs) scheduled for field block for day case inguinal herniorrhaphy were assigned to two study groups to receive 0.5% ropivacaine 25ml (n = 26) or 0.5% bupivacaine 25ml (n = 26). Onset of analgesia, adequacy of block, duration of postoperative pain relief and pain score at first requirement of analgesic were recorded. RESULTS: One patient in the bupivacaine group did not complete the study. Patient demographics and surgical times were similar in the two groups. Mean onset time of anaesthesia was shorter in the bupivacaine group than the ropivacaine group (5.37± 0.50 min vs 5.48 ± 0.45 min) although this was not significant (P = 0.44). Adequacy of block was similar in the two groups (P = 0.55). Postoperative pain relief was significantly longer for the ropivacaine group 6.83 ± 0.57hr than for the bupivacaine group 6.32 ± 0.35 hr (P = 0.0004, unpaired t-test). Mean pain score at the first requirement for analgesic was lower in the ropivacaine group 1.38 ± 0.49 than the bupivacaine group (1.56 ± 0.51), but this was not significant (P = 0.22). Few untoward effects of nausea and dizziness were observed in this study. CONCLUSION: Ropivacaine and bupivacaine have comparable onset of actions and adequacy of anaesthesia when used for day case inguinal herniorrhaphy and are safe.en_US
dc.description.sponsorshipSELFen_US
dc.identifier.citationComparative evaluation of 0.5% ropivacaine and 0.5% bupivacaine for day case inguinal herniorrhaphy in a Nigerian tertiary hospital. African Journal of Anaesthesia and Intensive Care, 10: 10-14en_US
dc.identifier.issn0794-2184
dc.identifier.urihttp://hdl.handle.net/123456789/319
dc.language.isoenen_US
dc.publisherJournal of the Societies of Anaesthetists of West and East Africa.en_US
dc.subjectComparative evaluationen_US
dc.subjectRopivacaineen_US
dc.subjectBupivacaineen_US
dc.subjectInguinal herniorrhaphyen_US
dc.subjectNigerian tertiary hospital.en_US
dc.titleComparative evaluation of 0.5% ropivacaine and 0.5% bupivacaine for day case inguinal herniorrhaphy in a Nigerian tertiary hospital.en_US
dc.typeArticleen_US

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