EFFICACY OF LOWER DOSES OF HYPERBARIC BUPIVACAINE WITH OPIOID ADJUVANT IN ELECTIVE CESAREAN DELIVERY: AN OBSERVATIONAL STUDY
Journal Title: GJRA-Global Journal For Research Analysis - Year 2019, Vol 8, Issue 9
Abstract
Background and aims: Hemodynamic stability following spinal anaesthesia in caesarean delivery may be achieved with lower dose of the drug at the expense of surgical condition which is not desired. So this study was performed to observe whether good surgical condition would be achieved with lower doses of hyperbaric bupivacaine with fentanyl adjuvant during elective caesarean delivery with minimum complications. Methods: After obtaining institutional ethics committee clearance and written informed consent, this prospective observational study was performed among 110 patients,aged between 18-38 years with singleton term pregnancy scheduled for elective caesarean delivery.The study population was randomly divided into 2 equal groups. Group A and Group B patients received 7.5 mg and 10 mg hyperbaric bupivacaine with fentanyl 25 mcg respectively. The onset and duration of sensory and motor block, the time to reach maximum block height, duration of analgesia, intraoperative average mean arterial pressure, heart rate, Apgar score and complications. Data were analyzed using Microsoft excel 2010 and statistical package of social sciences (SPSS) software version 23.The unpaired Student's t-test was used and p value < 0.05 was considered as statistically signicant. Results: The onset of sensory and motor block, the time to reach peak sensory block, the duration of analgesia and motor block in Group B were statistically signicant than Group A. (p value 0.000).Muscle relaxation was adequate in the both groups. There were signicant fall of average mean arterial blood pressure at 5 and 10 minutes following spinal anaesthesia but subsequent values were comparable. The incidence of complications wasminimum in the both groups. Conclusion: The 7.5 mg hyperbaric bupivacaine with 25 mcg fentanyl provides good surgical condition, hemodynamic stability with minimum complications during elective caesarean delivery.
Authors and Affiliations
Dr Ranabir Chanda, Dr Sayak Patra
Keywords
Related Articles
- EP ID EP640284
- DOI -
- Views 75
- Downloads 0
Role of Insulin Aspart in Management of Diabetic Ketoacidosis.
Introduction: Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes. Recently, new analogues of human insulin aspart are used in treatment of mild to moderate diabetic ketoacidosis. AI...
Outcome study of application of modified tension band wiring (TBW) in patellar fracture: A prospective study
Introduction: Fractures of patella are notorious fractures to treat owing their subcutaneous position and anatomical alignment which is difficult to restore. In the study, open reduction and internal fixation (ORIF) with...
PERCEIVED INFLUENCE OF INTERNET USE ON EMOTIONAL MATURITY AND GENERAL WELL-BEING AMONG STUDENTS
Introduction: Internet is in so the foremost outstanding innovation within the eld of communication another within the history of world. It is a mix of most advanced technologies until these days. But most advanced tech...
The Practice of Postnatal Care Among the Mothers in Sangethapatti Panchayat in Omalur Taluk of Salem District
Both mothers and children constitute more than half of the total population of our country. Tough number wise they are stronger but for morbidity and mortality rate they are very weak. It means that they are vulnerable f...
ANTIOXIDANT AND FREE RADICAL SCAVENGING EFFECT OF PRUCALOPRIDE : AN INVITRO STUDY
Introduction: Reactive oxygen species like superoxide radicals, hydroxyl radicals, singlet oxygen are implicated in causing tissue injury and cytotoxicity. They play a vital role in various diseases like ischaemic diseas...