Comparison of haemodynamic changes during laproscopic surgery and postoperative analgesia while using fentanyl and butorphanol as a premedication
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 2
Abstract
Back ground and Aim: Laproscopy surgery has advantages like minimal tissue trauma, reduced post operative complication and early recovery to normal activity. Laproscopy requires pneumoperitoneum which causes various cardiovascular and respiratory derangements especially tachycardia, hypertension, increased central venous pressure, direct myocardial depression. There are various pharmacological agents used during laproscopic surgery for haemodynamic stability like B-blockers, nitroglycerine, alpha2-agonist (dexmedetomidine, clonidine), opioids e.g(fentanyl, sufentanyl, morphine, butorphanol). We carried out the present study to compare the effect of Butorphanol and Fentanyl as a premedication on haemodynamic changes during laproscopic cholecystectomy surgeries and postoperative analgesia. Methodology: Fifty patients posted for laproscopis cholecystectomy surgeries of ASA grade I and II, 20-40 years age of either sex were selected for this study. They were randomly divided in two groups of 25. Group B Received Inj. Butorphanol 40 mcg/kg and Group F received Inj.Fentanyl 2 mcg/kg as a premedication. Haemodynamic parameter(pulse rate, systolic blood pressure, diastolic blood pressure,etco2) was measured during surgery. Postoperative pain was assessed by VAS score and analgesia given only when the score was ≥5. Results: It was Observed that much more stable haemodynamic parameters seen during surgeries in Group B as compared to Group F. Requirement of First dose of analgesic was significantly longer in group B[3hrs] than group F[30 min]. Conclusion: This study concluded that Butorphanol is a useful alternative to Fentanyl as a premedication because of its ability to produce stable haemodynamic changes during surgeries and longer postoperative analgesia.
Authors and Affiliations
Vishal Shrimali, Bhavin Patel
Keywords
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- EP ID EP589665
- DOI 10.26611/10151027
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