Comparative study of intrathecal bupivacaine with buprenorphine and bupivacaine with tramadol
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 3
Abstract
Background: Intrathecal local anaesthetic provide adequate sensory and motor block necessary for all infra umbilical surgeries. Aim: The study is to compare Buprenorphine and Tramadol in their efficacy as adjuvants to subarachnoid block. Materials and Methods: A total of 80 patients of ASA Grade 1 and 2, between the age group of 18-65 years who were under going lower limb and lower abdominal (Below umbilical) surgeries included in the study. They were randomized in to two groups group B and group T which were given 3ml of 0.5% hyperbaric bupivacaine+60mcg of buprenorphine and 3ml of 0.5% hyperbaric bupivacaine+25mg of tramadol respectively. Results: Time of onset of sensory block was tested with pinprick which was not significantly differed in both the groups but duration of sensory blockade , motor block and duration of analgesia were more with buprenorphine than tramadol. Heart rate, blood pressure, respiratory rate, saturation all were comparable in both the groups throughout the intra operative period. Intraoperatively sedation score was assessed using Modified Ramsay Sedation Scale and there was higher incidence of sedation with Buprenorphine group. Nausea and vomiting were significantly higher in group T, with p-value<0.001. Conclusion: Buprenorphine is better choice as Intrathecal adjuvant with Bupivacaine when compared with Tramadol.
Authors and Affiliations
P Sri Karuna Bharathi, Sarita Chandapet, Prathap Sidda
Keywords
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