Comparative study of intrathecal hyperbaric Bupivacaine with Clonidine, Fentanyl and Midazolam for quality of anaesthesia and duration of post opera- tive pain relief in patients undergoing elective caesarean section
Journal Title: People's Journal of Scientific Research. - Year 2012, Vol 5, Issue 1
Abstract
Pain free postoperative period and early ambulation are the need of the day for mothers caring for their neonates.The use of adjuvants in spinal analgesia has gained popularity in recent times. This prospective randomized study was carried out among 120 patients scheduled for elective caesarian section. They were divided into 4 groups. Group A (Control) received Injection Bupivacaine Hyperbaric) along with 0.9% Normal saline, Group B, C and D received Clonidine 75 µg, Fentanyl 25 µg and Midazolam 2.5 mg along with injection Bupivacaine (H) respectively. The results of the present study showed that intrathecal Clonidine, Fentanyl and Midazolam can be used safely in parturient, provided strict protocol for preloading is followed by vigilant operative and post-operative monitoring by a trained person. Requirement of postoperative analgesics was found to be significantly reduced in all the study groups when compared with the control group. The highest duration of pain relief was found with Clonidine. Adverse effects were minimal and could be easily managed; no adverse foetal effect was noted with the use of any drug in this study.
Authors and Affiliations
Anjali Bhure, , Neelakshi Kalita, , Prasad Ingley, , C. P. Gadkari
Keywords
Related Articles
- EP ID EP155899
- DOI -
- Views 87
- Downloads 0
Flexible Partial Dentures - A hope for the Challenged Mouth
The strong, flexible nature of flexible denture material is perfectly suited to the variety of natural conditions in the mouth, simplifying design and enabling the flexible nylon resin to act as a built-in stress-breaker...
Pulmonary Functions in Trained and Untrained Wind Instrument Blowers
The present cross-sectional study was designed to ascertain whether regular and trained wind instrument blowers develop higher pulmonary functions than untrained or part time blowers. The study included 155 trained &...
Variation in the Drainage of Gonadal Vein
The drainage of gonadal veins has significant role in causing varicocele, a known factor for male infertility. Present study was conducted in the Department of Anatomy, Institute of Medical Sciences, Banaras Hindu Univer...
Unilateral Condylar Hypoplasia and Treatment Modalities
andibular condylar aplasia or hypoplasia is an anomaly which usually manifests in association with various syndromes. When not seen in conjugation with any other development anomalies, it is an extremely rare conditi...
Perinatal Outcome in Growth Retarted Babies Born to Normotensive and Hypertensive Mothers: A Prospective Study
Pregnancy induced hypertension is one of the common condition of unknown etiology which increases the maternal and perinatal morbidity and mortality. The present study was carried out to find the perinatal outcome in int...