Study of addition of fentanyl to bupivacaine in subarachnoid block administered for cemented bipolar prosthesis in geriatric patients population
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction The most restricting component of regional anaesthesia in geriatric patients is hypotension inspite of several advantages The present study aimed to reduce hypotensive effect of local anaesthetics by reducing their dose and by adding fentanylMaterials and Methods We selected 120 elderly patients 65 years scheduled for cemented bipolar prosthesis under spinal anaesthesia They were randomized into two groups Group I n60 Group II n60 Group I patients received 25 ml of 05 hyperbaric Bupivacaine and Group II patients received 2 ml of 05 hyperbaric Bupivacaine plus 25 gm fentanyl Duration of surgery hemodynamic variables adverse effect need for analgesic supplementation were recordedResult Hypotension was more frequent in GroupI than GroupII 833 versus 833 Bradycardia is more in GroupI than in GroupII 6667 versus 5 Need of I V Fentanyl for alleviation of discomfort was same in both groupsConclusion Addition of intrathecal fentanyl provides better hemodynamic stability without compromising quality of anaesthesiaKeywords Analgesia Bupivacaine Fentanyl Geriatric patients Intrathecal Spinal anaesthesia
Authors and Affiliations
Sarita Gohiya, Vineet Kumar Gohiya, Nisha Singh
Keywords
Related Articles
- EP ID EP476490
- DOI 10.18231/2394-4994.2018.0096
- Views 88
- Downloads 0
Efficacy of intrathecal α2 agonists as adjuvants with low dose of levobupivacaine for lower limb surgeries in elderly patients
Introduction: Elderly orthopedic patients are frequently associated with systemic co morbidities like cardiac, pulmonary or endocrinal disorders. Regional anaesthesia has benefits over general anaesthesia in elderly. But...
A comparative study of sevoflurane induction using continuous tidal volume breaths versus three vital capacity breaths technique in adult patients undergoing elective surgical procedures under general anaesthesia
Introduction Previous studies have shown stable cardiovascular parameters and minimal airway irritation with sevoflurane induction in adults Also time taken for induction is comparable to intravenous drugs The authors pl...
A study of the effect of caudal epidural neostigmine for post operative pain relief in children undergoing lower abdominal surgery
Introduction and Objective: Providing adequate pain relief has always been part of anaesthesiologist’s role in the perioperative period beyond post anaesthesia care unit. Among the many adjuvants studied neostigmine was...
Lateral approach versus conventional approach supraclavicular block for forearm surgeries. A prospective randomized controlled study
Background and Aims Conventional technique of supraclavicular block is associated with direct injury to the vessels nerves and pleura which can be minimized with lateral approach Here we compared lateral with conventiona...
Anesthesia for neurosurgery (Part II)
The central nervous system 40CNS41 deserves special consideration in the perioperative setting for several reasons for an anesthetist An understanding of neuroanatomy is essential because neuro anesthesia continues to de...