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Background: Ropivacaine is recently introduced in Indian market, need to evaluate further for its clinical profile. We evaluated the analgesic effect of Ropivacaine in comparision with Bupivacaine in femoral nerve block (FNB) for positioning of patient for subarachnoid block in patients with fracture femur. Method: Hundred patients of either sex, aged 18-80 years, American Society of Anaesthesiologist physical status I–III having femur fracture scheduled for surgery under subarachnoid block. The patients were randomly allocated into two groups of 50 patients each. Group R received Ropivacaine and Group B received Bupivacaine (20 ml, 0.5 %) in FNB guided by peripheral nerve locator. Patients were observed for onset and peak effect of sensory and analgesia, hemodynamic profile and complications if any. Results: The mean time for onset of sensory block and analgesia were comparable in both the groups (p>0.05). The peak of sensory block and subjective analgesia achieved earlier in group R (p<0.001), but objective analgesia score was comparable in both the groups (p > 0.05). Haemodynamics remain stable and no complications were noted except vascular puncture. Conclusion: We conclude that FNB provides effective analgesia in patients with fracture femur for positioning of patient before subarachnoid block. We recommend the use of Ropivacaine as safer alternative to Bupivacaine in femoral nerve block, especially in compromised cardiovascular patients.
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Background: Use of mobile phones by Health Care Workers (HCWs) in the operation theatre (OT), Intensive Care Unit (ICU) and Critical Care Unit (CCU) may have serious hygiene consequences as these patients are more vulnerable to hospital acquired infection. This study will assess possibility of spreading hospital acquired infection due to usage of mobile phone by HCWs working in OT, ICU and CCU, their causative microorganisms and antibiotic sensitivity pattern. Methods: After institutional ethics committee approval, this observational study was carried out in government teaching hospital. After written informed consent, three groups (doctors, nurses and other health care personnel) each of 50 participants were selected. From each participant two samples were collected, one from the dominant hand and another from the mobile phone. The samples were tested for the identification of microorganism and antibiotic sensitivity.Results: It was found that 58.66% of hands and 46.66% mobile phones were contaminated by bacteria. Staphylococcus epidermidis was isolated as most common causative organism with infection rate of 42% in hand and 32.66% in the mobile phone. Contaminations with other organisms were 16.66% in hand and 14% in mobile phone. We found that 50% isolated Staphylococcus aureus were methicillin resistant Staphylococcus aureus (MRSA). Pseudomonas and Acinetobactor species isolated in the study showed multi drug resistance to commonly used antibiotics.Conclusion: We recommend simple measures like hand washing, cleaning of mobile phones with 70% isopropyl alcohol, using hand free mobile phone while working hours and well practiced infection control plan to bring down the rate of hospital acquired Infection.