Categories

Volume 8 Issue 10 (October, 2020)

Original Articles

Role of intrathecal fentanyl with hyperbaric Bupivacaine on subarachnoid blockade in cesarean section- A clinical study
Pawan Agrawal, Shalini Agrawal

Background: This study was conducted to compare the effect of intrathecal Fentanyl with hyperbaric bupivacaine in cesarean section (CS). Materials & Methods: This was conducted on 140 patients which were divided into two study groups of 70 each. Group 1 was given 2ml (10 mg) of 0.5% hyperbaric bupivacaine plus 0.5 ml (25 µg) of fentanyl intrathecally and group 2 was given 2ml (10mg) of 0.5% hyperbaric bupivacaine plus 0.5ml NS intrathecally. Results: The mean age in group I was 36.52± 3.06 years and in group II was 36.54 ± 3.72 years. Mean height in group I was 164. 2± 5.04 cm and in group II was 158.1± 3.42 cm. Duration of surgery in group I was 120.2± 28 minutes and in group II was 121.6± 24 minutes. Onset of sensory analgesia was 2.24 ± 0.34 minutes in group I and 2.3 ± 0.32 minutes in group II. Mean duration of analgesia was 192.12 ± 21.5 minutes in group I and 204 ± 18.3 minutes in group II. Onset of motor block was 3.42 ± 0.8 minutes in group I and 3.51 ± 0.84 minutes in group II. Time for maximum cephalic spread was 12.42 ± 3.6 minutes in group I and 11.62 ± 3.41 minutes in group II. Time for complete motor block was 6 ± 2.32 minutes in group I and 7.24 ± 2.32 minutes in group II. Time for two segment regression was 86.81 ± 10.7 minutes in group I and 124.12 ± 10.3 minutes in group II. Maximum analgesic block was T5-7 in group I and group II. Conclusion: Authors found that addition of fentanyl to 0.5% hyperbaric bupivacaine for sub arachnoid blockage quality of SAB in Cesarean section. Key words: Bupivacaine, Cesarean, fentanyl.

 
Abstract View | Download PDF | Current Issue