Assessment of Efficacy of Bupivacaine Plain Versus Bupivacaine with Fentanyl in Spinal Anaesthesia in Geriatric Patients Undergoing Hip Replacement Surgery: A Comparative Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: In comparison to general anaesthesia, spinal anaesthesia offers numerous advantages. Spinal lignocaine gives shorter span of analgesic block as well as can cause transient neurological side effects, and henceforth has been pulled back. Hence; the present study was conducted to assess the efficacy of bupivacaine plus fentanyl as spinal anaesthetic agent in patients undergoing total hip replacement surgery. Material and methods: The present study included assessment of 60 patients of more than 60 years of age who were scheduled to undergo total hip replacement surgery under spinal anaesthesia. Pre-medication of five mg of diazepam was given to all the subjects twelve hours before the starting of the surgery. All the subjects were randomly divided into two study groups; Group 1- included subjects who received hyperbaric bupivacaine plus saline, while Group 2 - included subjects who received local anaesthetic plus fentanyl of similar dose. Recording of all the motor and sensory responses along with occurrence of adverse effects was done. All observations were recorded, compiled and analysed by SPSS software. Results: Significant results were obtained while comparing the sensory response in between subjects of two study groups. Incidence of discomfort was present in 10 and 5 subjects of group 1 and group 2 respectively. Significant result was obtained while comparing discomfort in between the two study groups. Conclusion:Despite of occurrence of mild adverse effects, spinal fentanyl appears to be suitable in elderly patients undergoing orthopaedic surgical procedures.
Authors and Affiliations
Bhrigu Nath Singh
Keywords
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