Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery
Background: For intraocular surgery, the optimal local anesthetic agent must have a rapid onset of action and a sufficient duration of effect so as to enable a painless, motionless procedure without prolonging akinesia. Aims and Objective: This prospective, comparative observational study compare...
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| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2024-03-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/59888 |
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| author | Neel Rana Shruti M. Shah Shrutika Parag Ved Srushti R Shah Patel Kushal Umeshkumar Panchal Pratik Vijaybhai |
| author_facet | Neel Rana Shruti M. Shah Shrutika Parag Ved Srushti R Shah Patel Kushal Umeshkumar Panchal Pratik Vijaybhai |
| author_sort | Neel Rana |
| collection | DOAJ |
| description | Background: For intraocular surgery, the optimal local anesthetic agent must have a rapid onset of action and a sufficient duration of effect so as to enable a painless, motionless procedure without prolonging akinesia.
Aims and Objective: This prospective, comparative observational study compares ropivacaine and 0.5% bupivacaine for cataract surgery peribulbar block. Hyaluronidase is utilized in both groups because it promotes local anesthetic diffusion.
Material and Methods: Present prospective, observational, comparative study performed at the Department of Anesthesia Tertiary Care Teaching Institute of India for the duration of 1 year. All eligible patients were allocated in two groups as GROUP B and GROUP R. GROUP B: 10 mL of 0.5% bupivacaine and 15 I.U./mL of hyaluronidase. GROUP R: 10 mL of 0.5% ropivacaine and 15 I.U./mL of hyaluronidase. Patients were assessed for sensory block, eyelid, and ocular movements at an interval of 2 min, and Visual Analog Scale score for pain assessment.
Results: Age and gender did not differ significantly between the two study groups, according to the findings. Comparable and similar patient characteristics distinguished the two study groups. (P>0.05). The difference in onset of eyelid motor blockade between the two groups was not statistically significant. The difference in the onset of motor blockade [ocular movement] between the two groups was not statistically significant (P>0.05). (P>0.05) Analgesia duration differed significantly between the two groups in a statistical sense. Ropivacaine exhibits a significantly prolonged duration of analgesic effect than bupivacaine (P≤0.05).
Conclusion: Peribulbar block utilizing 0.5% ropivacaine is a more favorable and secure option for a local anesthetic that effectively extends postoperative pain alleviation, in comparison to the use of 0.5% bupivacaine. |
| first_indexed | 2024-03-07T18:39:57Z |
| format | Article |
| id | doaj.art-fec3e7adb0b44ad9975211fa3542d6cf |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-07T18:39:57Z |
| publishDate | 2024-03-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-fec3e7adb0b44ad9975211fa3542d6cf2024-03-02T04:24:53ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-03-011534347https://doi.org/10.3126/ajms.v15i3.59888Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgeryNeel Rana 0https://orcid.org/0000-0003-4294-6411Shruti M. Shah 1Shrutika Parag Ved 2https://orcid.org/0009-0005-5132-9433Srushti R Shah 3https://orcid.org/0009-0002-5295-5610Patel Kushal Umeshkumar 4https://orcid.org/0009-0008-6358-7909Panchal Pratik Vijaybhai 5https://orcid.org/0009-0004-2171-3461Assistant Professor, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India Professor and Head, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, IndiaSenior Resident, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India Senior Resident, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India Second Year Resident, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India Second Year Resident, Department of Anaesthesiology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India Background: For intraocular surgery, the optimal local anesthetic agent must have a rapid onset of action and a sufficient duration of effect so as to enable a painless, motionless procedure without prolonging akinesia. Aims and Objective: This prospective, comparative observational study compares ropivacaine and 0.5% bupivacaine for cataract surgery peribulbar block. Hyaluronidase is utilized in both groups because it promotes local anesthetic diffusion. Material and Methods: Present prospective, observational, comparative study performed at the Department of Anesthesia Tertiary Care Teaching Institute of India for the duration of 1 year. All eligible patients were allocated in two groups as GROUP B and GROUP R. GROUP B: 10 mL of 0.5% bupivacaine and 15 I.U./mL of hyaluronidase. GROUP R: 10 mL of 0.5% ropivacaine and 15 I.U./mL of hyaluronidase. Patients were assessed for sensory block, eyelid, and ocular movements at an interval of 2 min, and Visual Analog Scale score for pain assessment. Results: Age and gender did not differ significantly between the two study groups, according to the findings. Comparable and similar patient characteristics distinguished the two study groups. (P>0.05). The difference in onset of eyelid motor blockade between the two groups was not statistically significant. The difference in the onset of motor blockade [ocular movement] between the two groups was not statistically significant (P>0.05). (P>0.05) Analgesia duration differed significantly between the two groups in a statistical sense. Ropivacaine exhibits a significantly prolonged duration of analgesic effect than bupivacaine (P≤0.05). Conclusion: Peribulbar block utilizing 0.5% ropivacaine is a more favorable and secure option for a local anesthetic that effectively extends postoperative pain alleviation, in comparison to the use of 0.5% bupivacaine.https://www.nepjol.info/index.php/AJMS/article/view/59888analgesia; bupivacaine; ropivacaine; peribulbar block |
| spellingShingle | Neel Rana Shruti M. Shah Shrutika Parag Ved Srushti R Shah Patel Kushal Umeshkumar Panchal Pratik Vijaybhai Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery Asian Journal of Medical Sciences analgesia; bupivacaine; ropivacaine; peribulbar block |
| title | Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery |
| title_full | Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery |
| title_fullStr | Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery |
| title_full_unstemmed | Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery |
| title_short | Comparative study between 0.5% bupivacaine versus 0.5% ropivacaine in peribulbar anesthesia for cataract surgery |
| title_sort | comparative study between 0 5 bupivacaine versus 0 5 ropivacaine in peribulbar anesthesia for cataract surgery |
| topic | analgesia; bupivacaine; ropivacaine; peribulbar block |
| url | https://www.nepjol.info/index.php/AJMS/article/view/59888 |
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