Efficacy of Bupivacaine versus Ropivacaine for Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Postoperative Pain after Caesarean Section

Abstract

Aim and Objectives: The present study was undertaken to compare the efficacy of 0.25% bupivacaine and 0.25% ropivacaine for bilateral ilioinguinal and iliohypogastric nerve block for post caesarean section analgesia. Methods: In a double blind study, total 60 patients of ASA grade I and II, having age above 18 years and weight between 40- 80 kg were randomly allocated in two equal groups to receive 30 cc volume of either 0.25% bupivacaine (Group A) or 0.25% ropivacaine (Group B). All the results with respect to hemodynamic parameters, adequacy and duration of analgesia, comfort at breast feeding and any adverse effect were tabulated and analyzed statistically. Results: There was no statistically significant difference in the post-operative mean arterial pressures (MAP) and heart rate (HR) between two groups. Postoperatively, both the drugs were successful in achieving adequate analgesia. Duration of analgesia was significantly longer in group A as compared to group B. Both the drugs provided adequate levels of comfort during Breast feeding. No incidence of any adverse effect was noted between two groups. Conclusion : Bupivacaine and ropivacaine are successfully used for post operative analgesia through bilateral ilioinguinal and iliohypogastric nerve block.