EFFECT OF ADDITION OF FENTANYL AS AN ADJUVANT TO HYPERBARIC ROPIVACAINE IN PATIENTS UNDERGOING SURGERY UNDER SUBARACHNOID BLOCK

Background: Subarachnoid block, integral in regional anesthesia, the low dose ropivacaine provides differential spinal block to reduce adverse hemodynamic effects. The present study was performed to evaluate effect of addition of fentanyl as an adjuvant with hyperbaric ropivacaine compared with hyperbaric ropivacaine alone in surgeries involving subarachnoid block. The study was conducted at Sri Aurobindo Institute of Me Methods: dical Sciences Hospital, Indore,MP. Patients who underwent subarachnoid block were categorized into group A (plain hyperbaric ropivacaine) and group B (hyperbaric ropivacaine with fentanyl ). Preoperative evaluation, assessment of sensory and motor blockade, hemodynamic monitoring, and recording of adverse events were observed. There were no signicant dif Results: ferences between the two groups for patients demographic data,intraoperative hemodynamic parameters and side effects. The highest level of sensory block was at T10 in group A and T9 in group B( p=0.001). Duration of motor block was longer in group B being 210.50+/-61.25 minutes than in group A being 286.25+/-55.65 minutes(p<0.001). The study demonstrate Conclusion: d that the addition of fentanyl to hyperbaric ropivacaine has an advantage of increased hemodynamic stability and prolonged post operative analgesia without any signicant side effects.