A Clinical Prospective, Double Blinded Randomized Controlled Study to Compare the Intrathecal Hyperbaric Ropivacaine Hydrochloride 0.75% (3ml) plus Fentanyl with Intrathecal Hyperbaric Ropivacaine Hydrochloride 0.75% (3ml) plus Tramadol for Infraumbilical

Abstract

Background: Spinal anesthesia is preferred for infraumbilical surgeries due to its easier administration, reduced morbidity, effective postoperative analgesia and superior hemodynamic profile. This study compared the efficacy of intrathecal hyperbaric ropivacaine with fentanyl versus tramadol. Methods: This prospective, randomized, double-blind study included 100 ASA I-II patients aged 20-60 years undergoing infraumbilical surgeries. Patients were randomly allocated into two groups: Group RF (n=50) received 3ml of 0.75% hyperbaric ropivacaine with 25μg fentanyl and Group RT (n=50) received 3ml of 0.75% hyperbaric ropivacaine with 25mg tramadol. Onset and duration of sensory and motor blockade, hemodynamic parameters, duration of analgesia, and adverse effects were compared.