A COMPARATIVE STUDY OF POST OPERATIVE ANALGESIA USING BUPIVACAINE WITH FENTANYL AND BUPIVACAINE WITH BUPRENORPHINE IN GYNAECOLOGICAL SURGERIES USING COMBINED SPINAL EPIDURAL TECHNIQUE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 24
Abstract
AIMS: This study was done to compare the efficacy of post-operative analgesia of epidural Fentanyl and buprenorphine along with bupivacaine in gynaecological surgeries. MATERIALS AND METHODS: 60 female patients posted for elective gynaecological surgeries were selected. They were randomly divided into 2 groups of 30 patients each. Group A received Fentanyl citrate 2mcg/kg with 10ml 0.125% Bupivacaine and Group B received Buprenorphine hydrochloride 3mcg/kg with 10ml 0.125% Bupivacaine epidurally post operatively. The parameters recorded were HR, RR, MAP, VAS, Wt of patient, OOA (onset of analgesia) and DOA (duration of analgesia). RESULTS: The significance was calculated using T test. The results showed that 0.125% bupivacaine and buprenorphine was better than 0.125% Bupivacaine with Fentanyl. CONCLUSION: Addition of buprenorphine to bupivacaine by epidural injection for post-operative analgesia improves the onset, the duration and the quality of analgesia, albeit keeping the possibility of late respiratory depression.
Authors and Affiliations
Radha J, Jamuna T, Raghuveer J
Keywords
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- EP ID EP229162
- DOI 10.18410/jebmh/2015/516
- Views 56
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