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Posters 110. Comparison of same dose of plain bupivacaine and plain ropivacaine administered for spinal anesthesia in endourology B. Hadri, D. Kryezi...

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Posters

110. Comparison of same dose of plain bupivacaine and plain ropivacaine administered for spinal anesthesia in endourology B. Hadri, D. Kryeziu, I. Krasniqi, A. Balaj, A. Hasani, S.H. Hasimja [email protected] Department of Anesthesiology and Intensive Care, University Clinical Center of Kosova, Prishtina, Kosova Objective: This study was designed to compare the efficacy and safety of plain ropivacaine with plain bupivacaine for spinal anaesthesia in patients undergoing various surgical interventions in endourology. Methods: 102 patients, ASA I –III, were randomized to receive an intrathecal injection in Group R (n⫽54) 3ml of ropivacaine 0.5% and Group B (n⫽48) 3ml of bupivacaine 0.5%. Onset and offset times for sensory and motor blockades intensity, duration of motor block and arterial blood pressure were recorded. Results: The median time of onset of sensory block was 5 min (range 2-10 min) in Group R and 15 min in Group B (range 5-25min). The median duration of sensory block was 130 (range 90 –200 min) in Group R and 190 min (150-270 min) in Group B. The median duration of complete motor block (modified Bromage Scale 3) was significantly shorter in the ropivacaine group compared with the bupivacaine group (120 vs 180 min). Conclusion: Intrathecal administration of either 15.0 mg plain ropivacaine or 15.0 mg plain bupivacaine was well tolerated and an adequate anesthesia for surgical interventions in endourology was achieved in all patients. A more rapid postoperative recovery of sensory and motor function was seen in Group R compared with Group B.



Central Nerve Blocks

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112. Comparison of plain bupivacaine and plain ropivacaine administered in same doses for spinal anesthesia in endourology B. Hadri, D. Kryeziu, I. Krasniqi, A. Balaj, A. Hasani, S.H. Hasimja [email protected] Department of Anesthesiology and Intensive Care, University Clinical Center of Kosova, Prishtina, Kosova Objective: This study was designed to compare the efficacy and safety of plain ropivacaine with plain bupivacaine for spinal anaesthesia in patients undergoing various surgical interventions in endourology. Methods: 102 patients, ASA I –III, were randomized in Group R (n⫽54) to receive 3ml of ropivacaine 0.5% and Group B (n⫽48) to receive 3ml of bupivacaine 0.5%. Onset and offset times for sensory and motor blockades intensity, duration of motor block andvital signs were recorded. Results: The median time of onset of sensory block was 5 min (range 2-10 min) in Group R and 15 min in Group B (range 5-25min). The median duration of sensory block was 130 (range 90 –200 min) in Group R and 190 min (150-270 min) in Group B. The median duration of complete motor block (modified Bromage Scale 3) was significantly shorter in the ropivacaine group compared with the bupivacaine group (120 vs 180 min). Complete motor blockade occurred in all patients of both groups. Conclusion: Intrathecal administration of either 15.0 mg plain ropivacaine or 15.0 mg plain bupivacaine was well tolerated and an adequate anesthesia was achieved in all patients. A more rapid postoperative recovery of sensory and motor function was seen in Group R compared with Group B.