A COMPARATIVE STUDY OF PERIOPERATIVE EFFECTS OF INTRATHECAL FENTANYL AND DEXMEDETOMIDINE WITH BUPIVACAINE IN ELECTIVE LSCS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 56
Abstract
BACKGROUND Spinal anaesthesia is the most commonly used neuraxial anaesthetic technique for caesarean section as it is easy to perform, has accuracy rate higher than epidural anaesthesia, and procedure takes less time to perform and provides simple, effective and safe analgesia during perioperative period. Addition of various drugs to local anaesthetics reduces the dose requirement of the local anaesthetic, prolongs sensory and motor blockade and also prolongs the postoperative analgesia. Aims and objectives- In this study, we compare the quality of motor and sensory block and the duration of analgesia produced by intrathecal bupivacaine heavy alone and in combination with fentanyl or dexmedetomidine. MATERIALS AND METHODS The randomised control trial was conducted on 90 obstetric patients divided in three groups of Group C (bupivacaine with normal saline), Group D (Bupivacaine with dexmedetomidine) and Group F (Bupivacaine with fentanyl). RESULTS It was observed that both dexmedetomidine and fentanyl with bupivacaine provided the early onset and prolonged duration of sensory and motor block with good postoperative analgesia but dexmedetomidine has more advantages than fentanyl. CONCLUSION Addition of dexmedetomidine and fentanyl has decreased the dose requirement of bupivacaine with good perioperative analgesia.
Authors and Affiliations
Vinod Kumar Mishra, Shahbaz Ahmad, Satish Kumar, Ratnesh Kumar Verma, Raka Rani, Santosh Kumar Sharma, Priyanka Dwiwedi, Narendra Deo
Keywords
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- EP ID EP226142
- DOI 10.14260/Jemds/2017/911
- Views 87
- Downloads 0
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