A comparative study between spinal anaesthesia with 0.75% ropivacaine versus total intravenous anaesthesia outpatient knee arthroscopy

Abstract

Background: A Comparative study between spinal anaesthesia with 0.75% ropivacaine versus total intravenous anaesthesia for outpatient knee arthroscopyMaterials and Methods: This is a prospective, randomised study conducted out on 120 patients of either sex, aged 18-65 years, ASA grade I and II scheduled to outpatient knee arthroscopic surgeries under spinal anaesthesia and TIVA.Results: Spinal anaesthesia group had shown significantly lesser requirement of postop analgesia, good quality of recovery and attainment of early ambulation and cost significantly less compare to TIVA group. All the results were significant statistically and have correlated well with the studies in reference.Conclusion: We concluded that Patients administered Spinal anaesthesia with 0.75% ropivacaine had significantly lesser requirement of postop analgesia, with good quality of recovery from anaesthesia, lesser duration of hospital stay, early attainment of ambulation and is considerably cheaper when compared to patients administered General anaesthesia with I-gel or Laryngeal mask airway using Total intravenous anaesthesia with propofol infusion. Hence, this study concludes that Spinal anaesthesia with 0.75% ropivacaine is a safe and better choice of for ambulatory surgeries when compared to total intravenous anaesthesia with propofol using I-Gel.