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 129
- Downloads 0
C - REACTIVE PROTEIN: AN INFLAMMATORY BIOMARKER PRESENT IN MULTIPLE DISEASE PATHOGENESIS
C-reactive protein (CRP) is an acute-phase protein belongs to pentraxins family with a feature of ve identical globular subunits. Two different isoforms i.e. pentameric CRP (pCRP) and monomeric CRP (mCRP) have different...
VENTRICULAR SEPTAL DEFECTS WITH NEAR SYSTEMIC PULMONARY PRESSURES -AN INSTITUTIONAL EXPERIENCE
Ventricular Septal Defects (VSD) with severe pulmonary hypertension (PHT) patients are the difficult ones to intervene as they carry increased risk of postoperative morbidity and mortality especially when pulmonary press...
COMPARATIVE STUDY OF PAIN RELIEF BETWEEN USING TRACTION AND PILLOW SUPPORT IN PROXIMAL FEMUR FRACTURES
INTRODUCTION: There is always confusion regarding preoperative stabilization modality for proximal femur fractures to achieve pain relief. Objectives: The aim of this study was to study the effects of skeletal traction a...
LIQUID FIRE IN THE STOMACH A MINIMALLY INVASIVE APPROACH
Corrosive injuries are common in developing countries. Acid ingestion is more common in developing countries when compared to alkali ingestion in developed countries. Ingestion may be accidental or suicidal. The nature o...
INVESTIGATIONS INTO EXTRANEOUS FACTORS IN PURCHASE OF TOYS
Research on analysis of relationship between criteria for selection of toys and demographic prole such as occupation, age, gender and qualications have been recently studied by a number of people. Investigation of rela...