A Clinical Comparision – Between 0.125% Bupivacaine With Fentanyl-25µg And 0.0625% Bupivicaine With Fentanyl-25µg In Post-Operative Analgesia Through Epidural Route In Elderly Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
The pain in the postoperative period demands relief not only on humanitarian ground but also to reduce physical morbidity following the operation. In postoperative period when the effect of the anesthetic disappears, the tissue injury persists and pain producing substances which are liberated during the operation greatly reduce the normally high threshold of the nociceptors, so that innocuous stimulation produces pain. Moreover the cut ends of axons further contribute to nociception. A wide range of options exist to combat pain both pharmacologically and non-pharmacologically. However, despite the increasing complex armamentarium that we have at our disposal, the satisfactory alleviation of pain remains difficult goal. Thus the extent of our pharmacological alternatives is rather a reflection of our constant efforts to obtain more effective and safer analgesics. Hence forth the above study showed that low dose of Bupivacaine(0.0625%) almost equal to bupivacaine(0.125%) definitely improves the quality of analgesia by reducing the overall pain score, prolonging the duration of the need for first rescue analgesia and causing reduction of total analgesic consumption in the postoperative period without any hemodynamic instability.
Authors and Affiliations
Dr. Mohana Krushna . E. B. , Dr. RADHA . J.
Keywords
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- EP ID EP467580
- DOI 10.9790/0853-1802101527.
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