alexa Ropivacaine, versus Ropivacaine Plus Fentanyl for Carotid Endarterectomy | OMICS International | Abstract
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
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Research Article

Ropivacaine, versus Ropivacaine Plus Fentanyl for Carotid Endarterectomy

Hala Mostafa Goma* and Ahmed Abd El Aziz Aref

Department of Medicine, Cairo University, Egypt

*Corresponding Author:
Hala Mostafa Goma
Assistant professor of anesthesia
Department of Medicine, Cairo University, Egypt
Tel: 20235676105
E-mail: [email protected]

Received Date: May 03, 2014; Accepted Date: May 06, 2014; Published Date: May 08, 2014

Citation: Goma HM, Aref AAEA (2014) Ropivacaine, versus Ropivacaine Plus Fentanyl for Carotid Endarterectomy. J Anesth Clin Res 5:404. doi: 10.4172/2155-6148.1000404

Copyright: © 2014 Goma HM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Carotid disease accounts for around 30% of all strokes. Regional anesthesia may has the advantage that early diagnosis of any neurological complications during surgery, also less cardiac, stroke 50%, less operating room stay, few shunts are needed, and lower cost.

Patients and Methods: After the sharing of regional anesthesia decision between patient, surgeon, and anesthesiologist, 20 patients were enrolled in this study. The patients were divided in 2 groups (n=10), group 1 (20 ml Ropivacaine 0.5% alone) and group 2 (20 ml Ropivacaine +2 μ/ml fentanyl). Following parameters were measured, onset ,duration of the block, pain score, post operative stay time, postoperative nausea, vomiting, itching and patient satisfaction.

Results: Post operative stay minutes was 30.1 (2.22) in ropivacaine alone group and 13.7(3.4) in ropivacaine plus fentanyl group, P was 0.000. Post operative Nausea and vomiting 6 (30%) in Ropivacaine alone and14 (70%) in ropivacaine plus fentanyl group, P was 0.011, postoperative pain was 80% in ropivacaine group and 0% in Ropivacaine with fentanyl group, postoperative itching was 40% in ropivacaine alone and70%in fentanyl group. Patients’ satisfaction was 90% in the fentanyl plus ropivacaine group.

Discussion: combination of fentanyl and Ropivacaine may be a great profit during deep cervical blockade, decreasing risk of hypertension and hyperglycemia in response to pain, so it reduces the risk of cardiac and neurological morbidity, decreasing hospital stay and cost. More studies are needed contain more number of patients with different ASA.

Conclusions: Ropivacaine plus fentanyl gave more intra and post operative analgesia, and for longer duration than ropivacaine alone. The usage of ropivacaine reduces the risk of motor fibers blockade of phernic nerve, and neck muscles.

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