Efficacy of Bupivacaine and Fentanyl V/s Bupivacaine and Butorphanol in postoperative pain relief
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 11
Abstract
Abstract: Severe labour pains may adversely affect both mother and fetus. Postoperative pain leads to multiple physiological and psychological phenomenons. Epidural analgesia with combination of local anesthetics and opioids provides better pain relief than local anesthetics alone in the postoperative period.The objectives is to evaluate the efficacy of addition of opioids to local anesthetics for postoperative pain relief.Hundred primigravidaparturients in the age group of 18-26 years belonging to ASA grade 1 and 2, all being primigravidae were randomly selected and divided into 2 groups of 50 each. Group 1 parturients were given 0.1% Bupivacaine and Fentanyl 0.0002%, Group -2 parturients were given 0.1% Bupivacaine with 1mg Butorphanol by lumbar epidural technique.The mean onset and duration of analgesia with 1st dose in group 2 [92.16 ± 14.24] is more than that seen in the group 1 [68.68 ± 9.19]. The quality of analgesia in group 1 [1.42± 1.90] is more than group 2 (0.34 ± 1.50).A combination of0.1% Bupivacaine with 1mg Butorphanol provides excellent pain relief, prolonged duration of action in postoperative pain relief when compared to 0.1% bupivacaine with 0.0002% fentanyl. Keywords:Bupivacaine, Fentanyl, Butorphanol, Postoperative pain
Authors and Affiliations
Dr. Mittapally Shankar, Dr. Aerram Srinivas
Keywords
Related Articles
- EP ID EP371610
- DOI -
- Views 86
- Downloads 0
Inflammatory Fibroid Polyp of Ileum: A Case Report
Abstract: Inflammatory fibroid polyps are benign tumors which arise from the submucosa of the stomach, small intestine, large intestine and oesophagus. They form polypoid lesion and present as intussusception or intestin...
Oro Genital Candidiasis Mimicking as Behcet’s Syndrome: A Diagnostic Dilemma
Behcet’s disease is a systemic inflammatory disease of unknown etiology. The disease is strongly associated with human leukocyte antigen (HLA B51).It has a chronic course with periodic exacerbations and progressive deter...
Patient Satisfaction Regarding Quality of Primary Health Care Services in an Urban Community: A Medical Outcome Survey
Patient satisfaction is an indicator of health care quality and is considered as essential criteria for its evaluation. In addition to improving health status of the individual it will also reduce financial burden on his...
Histomorphological Changes and Cytopathological Co-Relation of Tubo-Ovarian Mass
Abstract: The ovarian tumours manifest with wide spectrums of clinical, morphological, and histopathological features. Cytological examination of ovarian masses is an efficient diagnostic modality for diagnosing ovarian...
A Study on Management of Tibial Plateau Fractures
Fractures involving joints are the most serious, resulting in limitation of movement, instability, eventual arthritis. Intra articular fractures are frequently comminuted with small fragments, which are difficult to redu...