A COMPARATIVE STUDY OF TWO DOSES OF SPINAL BUPIVACAINE WITH FENTANYL IN ELDERLY PATIENTS UNDERGOING ENDOSCOPIC UROLOGIC PROCEDURES
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 10
Abstract
Aim of the study; The aim of the study is to find out the minimum effective dose of bupivacaine with 25μgm of fentanyl for spinal anaethesia in elderly patients undergoing endoscopic urologic procedures. Materials and methods; After getting the approval from the ethical committee,the study was conducted in a tertiary care hospital. 75 patients aged between 50 to 75 years undergoing elective endoscopic urologic procedures. Patients were randomly divided into three groups of 25 patients in each group. Group-B received injection 0.5%Bupivacaine 1.5cc, Group-F1received injection 0.5% Bupivacaine1cc, plus injection fentanyl 0.5cc = 1.5cc and Group-F2 received injection bupivacaine0.8cc plus injection fentanyl 0.5cc plus sterile water 0.2cc = 1. 5cc.The following parameters were recorded. Time of highest level of sensory block, Degree of motor blockade, vital parameters. Sedation score and incomplete sensory block were also recorded. Postoperative observation like Duration of procedure, sensory level at the end surgery, duration of post-operative analgesia and two segment regression time were recorded. RESULTS; In Group-B 28% of the patients had significant hypotension who needed bolus Intra venous fluids and vasopressors. InbGroup-F1 the haemodynamics were stable with significant prolongation of post-operative analgesia than other groups. In Group-F2 8% of the patients had intra operative discomfort who needed supplemental intravenous analgesia. Conclusion: From this study, it was concluded that addition of fentanyl 25μgm to 5mg of 0.5%Bupivacaine provides reliable and satisfactory surgical anaesthesia with an ideal peak sensory block height, stable haemodynamic status and without any significant adverse effect in elderly patients undergoing endoscopic urologic procedures.
Authors and Affiliations
Dr R. Ganesan, Dr T. Kanagarajan, Dr B. Jeyarani
Keywords
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