Spinal epidural with bupivacaine 0.5% alone and bupivacaine 0.5% with fentanyl 1mcg/kg in prolonging the duration of intra-operative analgesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 8, Issue 1
Abstract
Objectives: To compare the study and efficacy of bupivacaine versus bupivacaine with fentanyl in prolonging the duration of intraoperative analgesia. Study Design: Randomized controlled double blinded study. Materials and Methodology: A fifty American society of anaesthesiologists of category I and II undergoing for elective lower limb surgery under combined spinal epidural anaesthesia were studied in this prospective randomized double blinded study. First group I(n=25) was given inj.bupivacaine 0.5% intrathecally with epidural topup of 0.5% bupivacaine was given and Group II (n=25) was given inj. Bupivacaine 0.5% intrathecally with epidural top up of bupivacaine 0.5% with fentanyl 1mcg/kg. Vitals , duration of analgesia ,duration of blockade and complications were analyzed both intraoperatively and postoperatively. Results: The mean two segment regression time was found to be 147.00 in group l patients and 150.80 in group II. The two segment regression time in both the groups were comparable. The mean duration of intra operative analgesia was found to be 200.20 mins in group I and 293.20 in group ll patients. The 'P' value was <0.001 which was statistically significant. The group l patients had 56.60 mins more post-operative analgesia compared to group ll. In the group ll,17 patients got highest sensory block of T6 compared to 3 patients in group I. In the group ll, 5 patients got highest sensory block of T7 compared to 7 patients in group I .In the group ll,3 patients got highest sensory block of T8 compared to 12 patients in group I. AND 'P’ value is below 0.01 which is statistically significant. Group ll patients the 'P' > 0.005 statistically insignificant. Conclusion: Its is concluded that subarachnoid block with 0.5% bupivacaine and 1mcg fentanyl is a more safer and better option for patient undergoing elective lower limb surgeries.
Authors and Affiliations
M Dakshinamoorthy, D Harishprabhakaran
Keywords
Related Articles
- EP ID EP440571
- DOI 10.26611/10158110
- Views 164
- Downloads 0
Study of intravenously administered dexmedetomidine on isoflurane requirement and perioperative haemodynamic stability in elective surgery
Background and Aims: In this study we observe the effect of dexmedetomidine as an adjuvant to general anesthesia on cardiovascular response to intubation and extubation, hemodynamic stability, requirement of Isoflurane c...
A study of phrenic nerve paralysis after vertical infraclavicular brachial plexus block
Background: Peripheral nerve blocks are gaining widespread popularity for perioperative management because of their distinct advantages over general and central neuraxial anaesthesia. Infraclavicular brachial plexus bloc...
Hemodynamic variables and side effects of 0.75% preservative free Ropivacaine for lower abdominal surgeries
Bupivacaine has been shown to have selective cardiac effects related to the slow rate at which it dissociates from the sodium channel.4, 13 An important aspects of this toxicity is that it involves a significant degree o...
General anaesthesia versus combined spinal plus general anaesthesia for elective lumbar spine surgeries: A randomized comparative study
Background: Lumbar spine surgeries are most commonly performed under general anaesthesia. It allows better patient satisfaction and prolong surgeries but can be accompanied by several perioperative morbidities. Spinal an...
Anaesthetic management of patient with pheochromocytoma for laparoscopic adrenalectomy
Pheochromocytoma is a neuroendocrine tumor of the medulla of the adrenal glands (originating in the chromaffin cells), or extra-adrenal chromaffin tissue that failed to involute after birth,1 that secretes high amounts o...