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
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