A Comparison of Intrathecal Bupivacaine With Fentanyl to Bupivacaine Alone for Elective Caesarian Section

Rao, Sumesh T and Khanooja, Samiksha (2013) A Comparison of Intrathecal Bupivacaine With Fentanyl to Bupivacaine Alone for Elective Caesarian Section. Paripex-Indian journal of Research, 2 (7). pp. 204-206. ISSN 2250-1991

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Abstract

Background-This study was designed to evaluate effect of adding 25 μg of fentanyl to 0.5% intrathecal bupivacaine for elective caesarean section. Methods- The study was conducted on 40 ASA I & II women posted for elective caesarean section. Patients were randomized into two groups and lumbar subarachnoid block performed with bupivacaine and fentanyl, or bupivacaine alone. The time of onset , upper level of block, duration of sensory and motor block, systolic blood pressure, heart rate and respiratory rate were recorded and analysed. Results- It was observed that fall in blood pressure and sedation showed significant differences between the groups. None of the other variables differed. Conclusion- Addition of fentanyl to bupivacaine resulted in faster onset of action and effective spinal anaesthesia with a lower dose of bupivacaine. The duration of block was similar in both groups. The most striking feature was the greater hemodynamic stability with the addition of fentanyl.

Item Type: Article
Uncontrolled Keywords: intrathecal fentanyl, bupivacaine, subarachnoid block,comparison,caesarean section
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Depositing User: KMCMLR User
Date Deposited: 31 Jul 2013 11:31
Last Modified: 31 Jul 2013 11:31
URI: http://eprints.manipal.edu/id/eprint/136682

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