Comparison of Levobupivacaine and Fentanyl with Levobupivacaine in Patients undergoing Surgeries Under Spinal Anaesthesia
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
Aims & Objective: We experimented the comparison of levobupivacaine & fentanyl with levobupivacaine in spinal anaesthesia in lower abdominal surgeries. A total of 80 patients of ASA grade I, aged 18-60 yrs of either sex scheduled for lower abdominal surgeries were divided into 2 equal groups in a randomized pattern. Patients in group LF (n =40), received 0.5% isobaric levobupivacaine 7.5mg (1.5ml) + fentanyl 25ug(0.5ml) +Normal saline (0.5ml) and in group L (n = 40), received 0.5% levobupivacaine 10mg (2ml) + Normal saline (0.5 ml) intrathecally. The onset and duration of sensory and motor block, time to achieve maximum sensory & motor level, time to regression of sensory level, duration of analgesia, & time of ambulation were analyzed in both groups. Statistical analysis done with SPSS 17 software and p value <0.05 taken as significant. The mean time of onset of sensory & motor blockade were 2.65±.95 min and 3.68±.73 min in group LF and 2.55±.90 min &3.75 ± .67 in group L respectively. Maximum level of sensory block achieved in group LF. Time to 2 Segment Regression Level was more in group L as compared to group LF. The durations of motor block were 162.75 ± 15.02 and 185.25 ± 11.54 min respectively in group LF and group L. The duration of analgesia was 161.00 ± 15.49 min in group LF compared to 135.75 ± 15.55 min in group L (p < 0.001). Time of ambulation was 252.00 ± 23.34 and 315 ± 20.38 min respectively in group LD. There was statistically significant difference present in duration of motor blockade and analgesia and time of ambulation between 2 groups. Addition of fentanyl in spinal block with low dose levobupivaicane increase the duration of motor block with prolonged duration of analgesia and reduce ambulation time.
Authors and Affiliations
Dr. Shikha Goyal
Keywords
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