A Study to Compare the Effects of Low Dose Intrathecal Fentanyl and Low Dose Intrathecal Tramadol Combined with 0.5% Bupivacaine (Heavy) in Patients Undergoing Orthopaedic Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Introduction: Relief of pain during operation and postoperative period is one of the main stay of balanced anaesthesia. Bupivacaine Hydrochloride is known for long procedures due to prolonged action. The addition of opioids has been opted as a method to reach these goals. Aims: To compare the intra-operative effects of a single low dose of intrathecal tramadol and fentanyl with hyperbaric bupivacaine hydrochloride. Materials and Methods: Fifty patients posted for various elective orthopedic procedures were studied in a randomized prospective double blinded manner. Patients will be randomly divided into two following groups. Group A: SAB with addition of 25 μg fentanyl to 3 ml of 0.5% Bupivacaine. Hydrochloride (hyperbaric), Group B: SAB with addition of 25 mg tramadol to 3 ml of 0.5% Bupivacaine Hydrochloride (hyperbaric). Results: During Intraoperative period no significant differences in BP, heart rate and respiratory rate were noted. There was no delay in time to full motor recovery in both the groups of patients. The mean duration of analgesia did not differ in both groups. Mean duration of analgesia in Group A was 565.4 minutes and in Group B was 551 min.Time for two segment regression did not differ in both the groups. The patients showed minimal side effects, like nausea, Vomiting, shivering and pruritis in both groups which was statistically insignificant. Conclusions: Both intrathecal tramadol and fentanyl act synergistically to potentiate bupivacaine induced sensory spinal block. Excellent surgical anaesthesia and an extended analgesia were observed in postoperative period with minimum side effects among both the groups.
Authors and Affiliations
P. Kalyan Chakravarthy
Keywords
Related Articles
- EP ID EP622126
- DOI 10.21088/ijaa.2349.8471.6419.2
- Views 62
- Downloads 0
A Case Report of Ca. Breast Patient with Metastasis, DVT and Hypoalbuminemia Posted for Modified Radical Mastectomy Under Thoracic Epidural Anaesthesia: A Challenge for Anaesthesiologist
Modified Radical Mastectomy, the surgical procedure for carcinoma of breast is routinely performed under general anaesthesia. Patient with lung metastasis and low serum albumin are at increased risk of perioperative morb...
Comparative Study of Two Different doses of Intrathecal Clonidine with Bupivacaine for Postoperative Analgesia
Background: a2-agonist prolongs the duration of intrathecally administered local anaesthetics. This study was planned to investigate the effects of 45 µg and 90µg clonidine added to 0.5% intrathecal hyperbaric bupivacain...
A Randomised Control Study to Compare the Pretreatment Effect of Rocuronium and Atracurium on Succinylcholine Induced Post Operative Myalgia
Background: Succinylcholine is a depolarizing muscle relaxant, provides ideal muscle relaxation for surgical procedures along with anesthetics. Which is extensively used short acting muscle relaxant, with several undesir...
Comparative Clinical Evaluation Between Intrathecal Bupivacaine (0.5%) Heavy, Bupivacaine with Nalbuphine and Bupivacaine with Butorphanol for Infra Umblical Surgeries
Introduction: Spinal anaesthesia is a very popular and common regional anaesthesia technique for infra umbilical surgeries. However the short duration of action of local anaesthetic drugs used for spinal anesthesia resul...
A Comparative Study of Butorphanol Versus Pethidine with Bupivacaine Heavy During Spinal Anaesthesia
Background: Management of postoperative pain is essential for the smooth recovery of the patients. Intrathecal opioids are commonly used adjuvants to bupivacaine heavy for improving the quality of spinal anaesthesia. The...