DEXAMETHASONE AS ADJUVANT TO INTRATHEACAL BUPIVACAINE
Journal Title: GJRA-Global Journal For Research Analysis - Year 2019, Vol 8, Issue 1
Abstract
Spinal Analgesia is most preferred technique of regional analgesia for surgeries below umbilical region. The most commonly used drug is Bupivacaine heavy for the procedures lasting for 90 to 120 minutes. Sometimes procedures last longer requiring supplementation of anaesthesia or sedation. Various additives have been tried for prolongation of analgesia duration like Epinepherine, clonidine and opiods. Opiods can prove risky in elderly patients. Corticosteroids have shown positive effect on quality of sensory blocks and post operative analgesia on peripheral nerves. The purpose of this study was to evaluate the effect of Dexamethasone as adjuvant to intrathecal Bupivacaine, on onset time and duration of spinal analgesia. Material and Method : Sixty patients between 18 to 65 years of age belonging to ASA group I and II were studied. Patients were divided into two groups of 30 patients each. Study group received intrathecal 15 mg (3 ml) of 0.5% hyperbaric Bupivacaine heavy and 8 mg (2.0ml) of preservative free Dexamethasone(Total 5.0 ml solution) and control group received intrathecal 15 mg (3 ml) of 0.5% hyperbaric Bupivacaine heavy with 2.0 ml normal saline (Total 5.0 ml solution). Highest level of sensory block was noted and marked. It was evaluated every 5 minutes till 4 sensory segment level regression from highest level. Onset time and duration of sensory block were noted. Patients were monitored in post operative period for any symptoms. Conclusion : Addition of Dexamethasone with Bupivacaine has shown prolongation of duration of sensory block and decreased the requirement of analgesics in postoperative management.
Authors and Affiliations
Kanhaiya Lal Kishnani, Anuj Dubey, Priya Jain
Keywords
Related Articles
- EP ID EP463736
- DOI -
- Views 70
- Downloads 0
PREVALENCE OF HIV INFECTION AMONG THE PRISON INMATES IN WEST BENGAL
Background Prison inmatess are at especially high risk of HIV infections as a consequence of risk factors that are in play both before incarceration and once in prison where there are frequent opportunities for further t...
Neurohistological Effects of Lead on Medulla of Adult Albimo Rat
LEAD is toxic to every organ of body, including central nervous system. This study is aimed to observe the histopathological changes in the medulla of rat induced by oral administration of lead compound in adult albino r...
Ayush’: A Path to Health and Family Welfare
Good health of the citizens is very essential for growth and development of every nation. A better human capital is in fact an asset as it increases employment, productivity as well as growth rate of the economy A health...
FACTORS INFLUENCING SUCCESS OF WOMEN ENTREPRENEURS IN KANYAKUMARI DISTRICT
Women Entrepreneurship is an important part of social and economic development of a country. Now women have realized their importance in the society and their participation in economic activities is also increasing. The...
ULTRASOUND OF THE PALPABLE BREAST MASS
Increased awareness of breast cancer makes a patient with palpable breast mass seek medical advice. All palpable masses neither are cancerous nor do they need surgical intervention. Ultrasound is the modality of choice...