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Comparative study between ultrasound-guided lumbar paravertebral block and lumbar epidural block with ropivacaine for postoperative pain relief in patient undergoing total hip replacement surgery: A prospective randomised, double-blind study Cover

Comparative study between ultrasound-guided lumbar paravertebral block and lumbar epidural block with ropivacaine for postoperative pain relief in patient undergoing total hip replacement surgery: A prospective randomised, double-blind study

Romanian Journal of Anaesthesia and Intensive Care
Volume 28 (2021): Issue 2 (December 2021)
By: Kavita Meena,  Rajesh Kumar Meena,  Aditya Prakash Nayak,  Punyashree M and  Neelesh Anand  
Open Access
|Dec 2022

Figures & Tables

Figure 1

Consort flow diagram.
Consort flow diagram.

Figure 2

Comparison of postoperative VAS score Groups A and B. VAS = visual analogue scale; VAS-1hr = visual analogue score at 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24 hours, and 48 hours. Comparison of VAS score in Groups A and B. Until 12 hrs, patients did not complain of any pain in Groups A and B. After 12 hrs, Group B had a VAS score >4, and this difference in pain score was not statically significant with a p-value 0.086 at 24 hrs and 0.067 at 48 hrs.
Comparison of postoperative VAS score Groups A and B. VAS = visual analogue scale; VAS-1hr = visual analogue score at 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24 hours, and 48 hours. Comparison of VAS score in Groups A and B. Until 12 hrs, patients did not complain of any pain in Groups A and B. After 12 hrs, Group B had a VAS score >4, and this difference in pain score was not statically significant with a p-value 0.086 at 24 hrs and 0.067 at 48 hrs.

Figure 3

Comparison of Mean Blood Pressure in Groups A and B. MAP = mean arterial pressure, MAP-0h = mean arterial pressure at baseline, MAP-15 min = mean arterial pressure at 15 minutes, MAP-30 min = mean arterial pressure at 30 minutes, MAP-1h = mean arterial pressure at 1 hour, MAP-2h = mean arterial pressure at 2 hours, MAP-4h = mean arterial pressure at 4 hours. Figure 3 compares the mean arterial pressure. It was comparable at baseline in both groups but there was a statistically significant fall in mean arterial pressure at 30 min (p=0.000), 1 hr (p=0.010), and 4 hrs (p= 0.028) from baseline in Group A compared to Group B.
Comparison of Mean Blood Pressure in Groups A and B. MAP = mean arterial pressure, MAP-0h = mean arterial pressure at baseline, MAP-15 min = mean arterial pressure at 15 minutes, MAP-30 min = mean arterial pressure at 30 minutes, MAP-1h = mean arterial pressure at 1 hour, MAP-2h = mean arterial pressure at 2 hours, MAP-4h = mean arterial pressure at 4 hours. Figure 3 compares the mean arterial pressure. It was comparable at baseline in both groups but there was a statistically significant fall in mean arterial pressure at 30 min (p=0.000), 1 hr (p=0.010), and 4 hrs (p= 0.028) from baseline in Group A compared to Group B.

Demographic profile, ASA physical status in Groups A and B_

 ParametersGroup A(n=30)Group B(n=30)P-value
Age (yrs)<504 (13.3%)2 (6.7%)0.639
51-5514 (46.7%)16 (53.3%) 
56-6010 (33.3%)8 (26.7%) 
>602 (6.7%)4 (13.3%) 
SexFemale16 (53.3%)17 (56.7%)0.795
Male14 (46.7%)13 (43.3%) 
ASAI14 (46.7%)13 (43.3%)0.795
II16 (53.3%)17 (56.7%) 

Duration of hospital stay in Group A and B_

Group A (n=30)Group B (n=30)P-value
Duration of hospital stay (hrs)7.50 ± 1.1676.47 ± 1.9000.000

Requirement of rescue analgesia in Groups A and B_

Group A (n=30)Group B (n=30)P-value
YesNoYesNo 
Rescue Analgesia Required5 (16.7%)25 (83.3%)8 (26.7%)22 (73.3%)0.347
DOI: https://doi.org/10.2478/rjaic-2021-0013 | Journal eISSN: 2502-0307 | Journal ISSN: 2392-7518
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Language: English
Page range: 80 - 85
Published on: Dec 29, 2022
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year
Keywords:
analgesia,
arthroplasty hip replacement epidural,
ropivacaine,
visual analogue scale
Related subjects:
Medicine,
Clinical medicine,
Clinical medicine, other,
Surgery,
Surgery, other,
Anaesthesiology,
Emergency medicine and intensive-care medicine

© 2022 Kavita Meena, Rajesh Kumar Meena, Aditya Prakash Nayak, Punyashree M, Neelesh Anand, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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