Intrathecal Butorphanol: An Effective Option for Post Operative Pain Relief in Caesarean Patients
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
Introduction: A pain free post-operative period is a boon to mother for caring the neonate .Spinal anesthesia is most preferred technique for caesarean section. Spinal opiates as adjuvants potentiate effect of local anesthetics and give prolonged postoperative analgesia. We evaluated the effect of addition of 25 mcg of injection butorphanol to hyperbaric injection bupivacaine 0.5% on hemodynamic changes neonatal outcome and post-operative analgesia in patients undergoing elective lower segment caesarean section (LSCS). Methodology: After obtaining ethical committee clearance and patient consent a double blinded prospective RCT was conducted between July2016- Feb2017. 60 ASA grade-I and II patients were divided into two equal groups. Group A(n=30) patients received injection hyperbaric bupivacaine 0.5%1.8 ml + injection butorphanol 25 mcg in 0.5 ml normal saline (NS) and Group B (n=30) received injection hyperbaric bupivacaine 0.5%1.8 ml + 0.5ml NS making total volume 2.3 ml by intrathecal route . The principle outcome measures were onset, duration of sensory and motor block, hemodynamics, apgar scores and duration of postoperative analgesia. Study groups were analysed using chi-square test. P-Value by SPSS software. Results: Duration of analgesia was significantly better in group A (264.16 min vs 141.36min) Hemodynamics and Apgar scores showed no statistical significance in both groups. Conclusion: Intrathecal butorphanol gives longer duration of post-operative analgesia without compromising neonatal scores and maternal hemodynamics.
Authors and Affiliations
Dr Ramachandra Badami
Keywords
Related Articles
- EP ID EP521692
- DOI -
- Views 42
- Downloads 0
Non-Invasive Vs Invasive Procedures For Detection of H. Pylori Infection in Patients With Gastric Symptoms in Alkharj, Saudi Arabia
Objectives: H. pylori is detectable in nearly 100% of adult patients with duodenal ulcer and about 80% of patients with gastric ulcer. An association between H. pylori and gastric cancer is confirmed. In developing count...
HIV and Tuberculosis: the impact goes beyond those infected with HIV/AIDS
Background & objectives: Tuberculosis is said to be one of the commonest opportunistic infection in patients with HIV/ AIDS. In this study the clinical profile of tuberculosis in patient with HIV infection /AIDS and to s...
A Study to Assess the Effectiveness of Plastic Bag Wrapping in Preventing Sepsis among Preterm Neonates
Septicaemia contributes to neonatal mortality and morbidity, especially in preterm and low birth weight infants in developing countries. Plastic bags covering the trunk and extremities of preterm and very low birth weigh...
Medicolegal Case Profiles & Its Association with Alcohol Influence in A Tertiary Care Centre – Kanyakumari, India
Background: Assaults and Road traffic accidents are the common medicolegal cases. Alcohol consumption has a pivotal role, leading to most of the road traffic accidents and crimes. Analysis of National Crime Records Burea...
Morphometric Study of Tibial Condylar area in the North Indian Population.
The upper end of tibia is expanded to form a mass that consists of two parts: lateral and medial condyles which articulate with the corresponding condylar surfaces of the femur. Separating these two condyles is the inter...