Efficacy of Bupivacaine and Fentanyl V/s Bupivacaine and Butorphanol in postoperative pain relief
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 11
Abstract
Abstract: Severe labour pains may adversely affect both mother and fetus. Postoperative pain leads to multiple physiological and psychological phenomenons. Epidural analgesia with combination of local anesthetics and opioids provides better pain relief than local anesthetics alone in the postoperative period.The objectives is to evaluate the efficacy of addition of opioids to local anesthetics for postoperative pain relief.Hundred primigravidaparturients in the age group of 18-26 years belonging to ASA grade 1 and 2, all being primigravidae were randomly selected and divided into 2 groups of 50 each. Group 1 parturients were given 0.1% Bupivacaine and Fentanyl 0.0002%, Group -2 parturients were given 0.1% Bupivacaine with 1mg Butorphanol by lumbar epidural technique.The mean onset and duration of analgesia with 1st dose in group 2 [92.16 ± 14.24] is more than that seen in the group 1 [68.68 ± 9.19]. The quality of analgesia in group 1 [1.42± 1.90] is more than group 2 (0.34 ± 1.50).A combination of0.1% Bupivacaine with 1mg Butorphanol provides excellent pain relief, prolonged duration of action in postoperative pain relief when compared to 0.1% bupivacaine with 0.0002% fentanyl. Keywords:Bupivacaine, Fentanyl, Butorphanol, Postoperative pain
Authors and Affiliations
Dr. Mittapally Shankar, Dr. Aerram Srinivas
Keywords
Related Articles
- EP ID EP371610
- DOI -
- Views 79
- Downloads 0
Diagnostic efficacy of Color Doppler combined with Gray scale ultrasonography over Modified Alvarado score for diagnosing appendicitis
This is a prospective study conducted on 289 patients of 11 to 30 years age group with clinically suspected appendicitis. After Modified Alvarado scoring, ultrasonography (USG) was done. Each patient was then subjected t...
1. Thomas L, David AW, Victoria FR, William SZ. Foye’s Priincipal of Medicinal Chemistry. Sixth Edition. Lippincott Williams and Wilkins; 2008: 521. 2. D.S.Reddy. Pharmacotherapy of catamanial epilepsy. Indian J Pharmacol. Oct 2005; 37(5): 288-293. 3. Thurman DJ, Beghi E, Begley CE, Berg AT, Buchhalter JR, Ding D, Hesdorffer DC, Hauser WA, Kazis L, Kobau R, Kroner B. Standards for epidemiologic s
Abstract:Acute appendicitis is the most common abdominal surgical emergency. The diagnosis may be easy but many times it may be very difficult. The clinical diagnosis of appendicitis is wrongly made many times as it is i...
Comparative study of topical diltiazem sphincterotomy and lateral internal sphincterotomy in the treatment of chronic fissure-in-ano: a prospective analytical study
Abstract: Anal fissures are considered to be one of the commonest causes of proctalgia. Chronic fissure-in-ano is the condition when there is persistence of fissure for more than six weeks. Surgical techniques like manua...
Factors that Motivate and Hinder Blood Donation among First Time Blood Donors
The increased demand of blood and its components makes it important for us to spread awareness of blood donation. We need to know the factors that may prompt a donor to donate blood or hinder him from doing so. 100 first...
Serum enzyme levels as biomarkers in malaria
Malaria is one of the most serious diseases especially of the tropical world. Pathophysiological process involves both centrilobular liver damage and red blood cells destruction. As a result, enzymes present in these cel...