Background: Spinal anesthesia is the most consistent block for lower abdomen and orthopedic surgery. Spinal anesthesia avoids the risks of general anesthesia such as aspiration of gastric contents and difficulty with airway management. Aim of the study: To compare efficacy of Bupivacaine with or without Dexamethasone.Materials and methods: The present study was conducted in the Department of Anesthesia of the Medical institute. For the study, we selected 50 patients scheduled for abdominal surgery with ASA I and II. The patients were randomly grouped into two groups, Group 1 and Group 2 with 25 subjects in each group. Subjects in group 1 were administered intrathecal bupivacaine-dexamathasone; however, subjects in group 2 were administered intrathecal bupivacaine- normal saline. Results: We included 50 patients for the study. Patients were randomly grouped into two groups, Group 1 and Group 2. We observed that there was no statistically significant difference between demographic characteristics of the patients of both groups. The anesthesia onset time for Group 1 was 12.89 minutes as compared to 11.03 minutes for Group 2. The sensory block time period for Group 1 was 120.28 minutes in comparison to Group 2 that was 116.41 minutes. Conclusion: Within the limitations of the study, we conclude that dexamethasone with bupivacaine delays the sensory block in spinal anesthesia for abdominal surgeries.
Keywords: Bupivacaine, dexamethasone, spinal anesthesia.
Corresponding author: Dr. Shamshir Kumar Sonker, Associate Professor, Department of Anaesthesia, Shaikh-Ul-Hindi Maulana Mahmood Hasan Medical College Saharanpur, U.P., India
This article may be cited as: Sonker SK. Comparative analysis of efficacy of Bupivacaine with or without Dexamethasone. J Adv Med Dent Scie Res 2017;5(5):89-92.