Comparative study of two doses of bupivacaine along with fentanyl citrate in spinal anaesthesia for short surface surgeries below umbilicus
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 1
Abstract
Background: Intrathecal opioids are synergistic with local anaesthetics and intensify the sensory block without increasing the motor block and offer haemodynamic stability. This study was planned to compare the effects of low doses and high dose bupivacaine along with fentanyl citrate. Methods: This study was carried out in patients presenting for short surface surgical procedures below umbilicus from physical state ASA grade I and II. 60 Patients were randomly allocated in to Group BF 5 [Inj. Bupivacaine Hydrochloride 5 mg + Inj. Fentanyl citrate 25 μg] and Group BF 7.5 [Inj. Bupivacaine Hydrochloride 7.5 mg + Inj. Fentanyl citrate 25 μg] of 30 each. Sensory and motor block were assessed. Patients were observed for both intraoperative and postoperative complications. Results: Mean levels of sensory blockade to pinprick were T10 in group BF5 and T8 in group BF7.5. Total duration of sensory blockade (175.3+14.56 min) and motor blockade (129.5+19.09 min) were significantly higher in group BF7.5. Hypotension was seen in 7 patients of BF7.5 as compared to just 2 patients in group BF5. None of the patients from either group had bradycardia and respiratory depression. Incidences of shivering, pruritus and headache were similar in both groups. Conclusion: Both doses of bupivacaine hydrochloride 5 mg and 7.5 mg with fentanyl citrate 25 μg intrathecally provide successful anaesthesia below T10 spinal segment. However, 7.5 mg dose is associated with denser block, increased incidence of hypotension, delay in achieving highest sensory blockade and delayed recovery which delayed ambulation and discharge time following short surgical procedures.
Authors and Affiliations
Kalpeshkumar Mistry, Ankur Gandhi
Keywords
Related Articles
- EP ID EP311318
- DOI 10.18231/2394-4994.2017.0012
- Views 88
- Downloads 0
Comparison of isobaric levobupivacaine versus hyperbaric bupivacaine in spinal anesthesia for cesarean section: A prospective randomized case control study
Introduction Isobaric levobupivacaine is now being investigated in spinal anesthesia owing to its better safety profile however the studies are sparse which show clinical efficacy of intrathecal isobaric levobupivacaine...
Ophthalmological changes after posterior spine surgeries: A prospective study
Introduction: Postoperative visual loss (POVL) after posterior approach to spine surgeries is a devastating complication necessitating a prospective study. The primary aim was to identify ophthalmological changes contrib...
A clinical comparative study of succinylcholine versus rocuronium in various doses for pediatric intubation
Endotracheal intubation is the most important procedure involved in general anaesthesia for the purpose of airway maintenance and anaesthesia.
Acute Fatty Liver of Pregnancy: Case series report
Acute fatty liver of pregnancy, a rare clinical entity demands early diagnosis, immediate delivery of fetus, systematic approach for correction of coagulopathy, renal injury & sepsis along with hemodynamic and ventilator...
Attenuation of pressor response to laryngoscopy and intubation: Dexmedetomidine Vs. fentanyl premedication
Introduction The pressor response during laryngoscopy and intubation is part of a huge spectrum of stress response results from the increase in sympathetic and sympathoadrenal activity The present study was planned to ob...