COMPARATIVE EVALUATION OF INTRATHECAL, EPIDURAL AND INTRAVENOUS BOLUS SUFENTANIL FOR POST OPERATIVE ANALGESIA IN LOWER LIMB SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 48
Abstract
In clinical experience sufentanil is more effective when given epidurally than intrathecally and intravenously. To test this hypothesis we compare the analgesic characteristic of 10µgm of epidural, intrathecal and intravenous single shot sufentanil for pain relieve after elective lower limb surgeries. A randomized double blind trial was conducted on 60 patients who were under- going elective lower limb surgery in epidural anesthesia with bupivacaine. In recovery room as soon as pain score higher than 3 on the scale of 10 on visual analogue score was reported 10µgm intravenous, intrathecal and epidural was given respectively. We concluded that epidural sufentanil is better as compared to intrathecal and intravenous in terms of duration of pain relief, vital complications and side effects for post-operative pain relief.
Authors and Affiliations
Sudhakar Dwivedi, Subhash Agarwal
EXTERNAL DACRYOCYSTORHINOSTOMY IN PAEDIATRIC PATIENTS AND SURGICAL OUTCOMESOUR EXPERIENCE IN A GOVERNMENT TEACHING HOSPITAL
BACKGROUND In paediatric group patients, management of Epiphora is a stepwise process starting with probing at the age of 9-12 months and it results in high cure rates. For persistent watering and discharge following rep...
IDIOPATHIC THROMBOCYTOPENIC PURPURA IN PREGNANCY & NEONATAL EFFECTS – A CASE REPORT
Thrombocytopenia, defined as a platelet count < 150,000/cu mm, is second only to anaemia as the most common hematologic abnormality encountered during pregnancy. Isolated thrombocytopenia may be due to gesta...
STUDY OF PREVALENCE OF DIABETES MELLITUS TYPE-2 AND IMPAIRED GLUCOSE TOLERANCE AMONG ADULTS IN A RURAL AREA OF KATIHAR, BIHAR
The prevalence of type-2 diabetes mellitus is increasing globally particularly in developing countries. Previously, diabetes mellitus type-2 was disease of middle aged and elderly, but recently it is affecting y...
TREATMENT OF FRACTURE SHAFT FEMUR IN PAEDIATRIC AGE GROUP WITH TITANIUM ELASTIC NAIL
BACKGROUND In this era of speed, management of fracture of shaft femur in paediatric age group have changed from conservative to operative. This reduced the chance of malunion, rotation and angulation along with allow ea...
KNOWLEDGE OF MEDICAL PROFESSIONALS TOWARDS DENGUE DIAGNOSTICS
Dengue is a major public health problem throughout the world. It is a rapidly spreading mosquito-borne viral disease with high rate of morbidity and mortality. Dengue can be reduced by implementing early case det...