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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

Kavita Meena

Kavita Meena

Institute of Medical Sciences, Banaras Hindu UniversityVaranasi, India
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Meena, Kavita
, 
Rajesh Kumar Meena

Rajesh Kumar Meena

Institute of Medical Sciences, Banaras Hindu UniversityVaranasi, India
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Meena, Rajesh Kumar
, 
Aditya Prakash Nayak

Aditya Prakash Nayak

Institute of Medical Sciences, Banaras Hindu UniversityVaranasi, India
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Nayak, Aditya Prakash
, 
Punyashree M

Punyashree M

Institute of Medical Sciences, Banaras Hindu UniversityVaranasi, India
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M, Punyashree
 y 
Neelesh Anand

Neelesh Anand

Institute of Medical Sciences, Banaras Hindu UniversityVaranasi, India
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Anand, Neelesh
  
29 dic 2022
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's Cover Image
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Categoría del artículo: Original Paper
Publicado en línea: 29 dic 2022
Páginas: 80 - 85
DOI: https://doi.org/10.2478/rjaic-2021-0013
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© 2021 Kavita Meena et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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_

  Parameters Group A(n=30) Group B(n=30) P-value
Age (yrs) <50 4 (13.3%) 2 (6.7%) 0.639
51-55 14 (46.7%) 16 (53.3%)  
56-60 10 (33.3%) 8 (26.7%)  
>60 2 (6.7%) 4 (13.3%)  
Sex Female 16 (53.3%) 17 (56.7%) 0.795
Male 14 (46.7%) 13 (43.3%)  
ASA I 14 (46.7%) 13 (43.3%) 0.795
II 16 (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 ± 1.167 6.47 ± 1.900 0.000

Requirement of rescue analgesia in Groups A and B_

Group A (n=30) Group B (n=30) P-value
Yes No Yes No  
Rescue Analgesia Required 5 (16.7%) 25 (83.3%) 8 (26.7%) 22 (73.3%) 0.347
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Temas de la revista:
Medicina, Medicina Clínica, Medicina Clínica, otros, Cirugía, Cirugía, otros, Anestesiología, Medicina de urgencias y cuidados intensivos
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