HYBRID EVENT: You can participate in person at Madrid, Spain or Virtually from your home or work.

5th Edition of Global Conference on Surgery and Anaesthesia

September 05-07, 2024 | Hybrid Event

September 05 -07, 2024 | Madrid, Spain
GCSA 2023

Vasudha Govil

Vasudha Govil, Speaker at Surgery Conferences
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, India
Title : A study to compare bupivacaine and ropivacaine for postoperative analgesia in ultrasonography guided femoro sciatic nerve block in patients undergoing below knee surgery


Introduction-  Postoperative pain following lower limb surgeries is distinct. Sciatic and femoral nerve blocks are highly useful in providing postoperative analgesia for lower limb surgeries. The use of ultrasound increases the efficacy of the procedure making it more reliable and decreasing the complication rate. Bupivacaine has a slow onset of action with a high rate of cardiac and neurotoxicity. Ropivacaine is a relativity new amide local anaesthetic and long-acting agent with a reduced potential for neuro and cardiotoxicity. Search for a lesser toxic alternative to bupivacaine was being investigated, thus it was decided to study ropivacaine in comparison to bupivacaine to evaluate the efficacy for the analgesia postoperatively. 

Aim and objectives- The primary objective of the study is to compare duration of post-operative analgesia between the two groups. The secondary objective of the study is to note total analgesic consumption in the first 24 hours in both groups, the VAS in both the groups, the ease of administration of blocks and procedural complications, if any.

Methods- Fifty patients in the age group of 18-60 years belonging to ASA I and II who underwent elective lower limb below knee orthopaedic surgery, under subarachnoid SAB were included and randomly allocated to one of the two groups- Group B where patients were administered ultrasound guided femoral-sciatic nerve blocks with 20ml of 0.25% bupivacaine and Group R where patients were administered ultrasound guided femoral-sciatic nerve blocks with 20ml of 0.25% ropivacaine. 

Result and conclusion- Ropivacaine and bupivacaine provided adequate and efficient analgesia in the postoperative period for below knee surgeries with a significantly longer duration for ropivacaine. Ropivacaine being a more cardio stable drug can be effectively used as an alternative to bupivacaine for femoro sciatic nerve block.

Audience Take Away Notes:

  • It will help in providing better analgesia options for below knee surgery
  • Less invasive option
  • Better drug profile
  • Early ambulation for patients


Dr Vasudha Govil studied MBBS at Pt BD Sharma PGIMS Rohtak and graduated in 2012. She then pursued her post graduation in Anaesthesia and Critical Care and received her degree in 2015 at the same institution. After that she completed her Doctorate in National Board in 2016 and completed her two years of senior residency in Anaesthesia and critical care. She obtained the position of an Assistant Professor at Pt BD Sharma PGIMS Rohtak  in the year 2018 and is now promoted as Associate Professor due to her exemplary services and ardent patient care. She has published more than 25 research articles in international and national journals. She is a frequent speaker in multiple conferences and recipient of various awards in her field like

•    Best paper presentation in 1st YUVA ISACON 2020
•    Parita award for best paper in Trauma category in RSACPON 2019
•    Best paper in 2nd annual neurocritical care update 2018
•    Best paper presentation in ISA Haryana 2013