Effects Fentanyl on Hyperbaric Bupivacaine in Spinal Anaesthesia for Caesarean Section
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 8
Abstract
Hyperbaric bupivacaine was the most common drug used in spinal anaesthesia for caesarean section. The aim of this study was to compare the effects of adding fentanyl to intrathecal bupivacaine on the onset and duration of spinal anaesthesia. Sixty healthy parturients with singleton pregnancy scheduled for elective caesarean section were randomly allocated to receive subarachnoid block with 2ml of 0.5% hyperbaric bupivacaine in control group C and 2ml of 0.5% hyper baric bupivacaine + fentanyl 20 mcg(0.4ml). Blood pressure, heart rate, respiratory rate, oxygen saturation, along with characteristics of spinal block were assessed throughout the surgery and in the postoperative ward until the patient requested for analgesia. Onset of sensory and motor block was comparable in both groups. Two segment regression (80.34±13.34 vs135.54±10.56 min) and the duration of analgesia (190.24±20.32 vs210.52±18.92 min) was significantly prolonged in fentanyl group. Addition of 20mcg fentanyl as adjuvant to 2ml of 0.5%hyperbaric bupivacaine intrathecally provides better surgical analgesia, prolongs the duration of analgesia, reduces the intraoperative need of analgesic supplement, delays time of postoperative rescue analgesia with minimal side effects.
Authors and Affiliations
Suresh T
Keywords
Related Articles
- EP ID EP209550
- DOI -
- Views 90
- Downloads 0
Serum Vitamin D Status and hs-CRP in Pre- and Postmenopausal Women
Aim: Vitamin D deficiency is one of the major health problems in all age groups especially in elderly women. Menopause marks an important change in woman’s life. With an increasing age, women are at high risk of several...
Role of CT in the Evaluation of Sinunasal Masses
Malignancies of paranasal sinuses and Nasal cavity account for less than 30% of all the neoplasms of the upper respiratory tract. (Wolfgang Dahnert; Radiology Review Manual; EdnA; page 329). Most frequently involved is t...
Double blind Comparison of Rocuronium and Succinylcholine for endotracheal intubation in adult patients for elective surgeries
Background: A Double blind Randomized Control Trial was done to compare Rocuronium and Succinylcholine for endotracheal intubation for elective surgeries in adult patients done under general anesthesia. Materials & Metho...
Assessment of Biofilm Production in Carbapenem Resistant Acinetobacter Species Isolated from Different Clinical Specimens
Introduction: Microbial biofilms are important virulence factors contributing not only to the severity of the disease process but also to the antibiotic resistance. Acinetobacter species, particularly Acinetobacter bauma...
A Study on Clinical and Investigation Correlation of Severity of Acute Pancreatitits
Background: Acute pancreatitis is a common ailment with extensive clinical version and its incidence is increasing. Acute pancreatitis might also vary in severity, from moderate self-proscribing pancreatic inflammation t...