A comparative study of 0.2% ropivacaine with dexamethasone versus fentanyl in PENG block

• DOI: 10.18231/j.ijca.2024.086
• Publication Date: 2024-11-07T10:40:48Z
• Authors: Vrishali Yashvant...; Sumedha Mehta; Kavita Adate; Arbaaz Pathan; Kiran Valake
• Keywords: Ropivacaine

The PENG block is recognized for its motor-sparing effect, setting it apart from the femoral nerve block. This interfascial plane provides good analgesia proximal femur fracture surgeries. primary objective of research was to analyze efficacy Dexamethasone and Fentanyl with Ropivacaine in surgeries, while secondary evaluate comfort patients positioning spinal anesthesia any potential side effects. study involved 60 patients, classified as ASA grade I/II, split into two groups 30. Group PD given 0.2%Ropivacaine (15ml), 4mg, PF 0.2% 50mcg USG guided documented VAS score before 10 minutes after block, patient satisfaction score, postoperative duration analgesia, hemodynamic effects adverse In both groups, (6.567±1.223 vs6.5±1.252, p=0.408) (2.167±0.791vs2.234±0.728, p=0.365) (2.1±0.759vs2±0.743, p=0.328) were comparable i.e. statistically insignificant. (655.334±35.457 mins group vs 458.334±27.518 PF, p- value=0.004), significant. No significant or observed. has be beneficial preoperative pain management. We conclude that (4mg) (50 mcg) provide analgesic an adjuvant early period, but a prolonged analgesia.