COMPARATIVE STUDY OF BUPIVACAINE WITH FENTANYL VS BUPIVACAINE WITH FENTANYL PLUS MORPHINE IN SPINAL ANAESTHESIA FOR LOWER SEGMENT CAESAREAN SECTIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 48
Abstract
BACKGROUND Anaesthesiologists all over the world are facing challenges to manage increasing number of caesarean deliveries. Central neuraxial techniques of subarachnoid blockade with 0.5% Bupivacaine heavy solutions in different doses are generally employed. MATERIALS AND METHODS Sixty parturients coming for non-urgent caesarean deliveries were randomized into 2 groups of 30 each; Group I receiving 7.5 mg Bupivacaine heavy plus 16 µg Fentanyl and Group II receiving 7.5 mg Bupivacaine heavy plus Fentanyl 16 µg & Morphine 125 µg, the volume of solutions being 2 ml in both the groups. RESULTS Demographic data, pre-operative, intra-operative & post-operative vitals, characteristics of motor blockade and complications were comparable in both the groups. However sensory blockade (analgesia) in Group II was much longer and post-operative analgesic consumption in the first 24 hours were much lesser in Group II. CONCLUSION It has been concluded that addition of Fentanyl 16 µg and Morphine 125 µg to Bupivacaine 7.5 mg is a very good option for nonurgent Caesarean deliveries.
Authors and Affiliations
Keisham Upendra Singh, Sukham Thoibahenba Singh, Sonia Nahakpam, Linthoingambi Samjetsabam, Zarina Waheb, Laishram Dhanachandra
Keywords
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- EP ID EP548566
- DOI 10.14260/jemds/2018/1150
- Views 38
- Downloads 0
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