A COMPARISON OF CLINICAL EFFECTS OF INTRATHECAL FENTANYL VS INTRAVENOUS FENTANYL AS ADJUNCT TO SPINAL ANAESTHESIA WITH LEVOBUPIVACAINE

Dr. Prithi Jain; Dr. Lulu Sherif

Volume : VIII, Issue : XII, December - 2018

A COMPARISON OF CLINICAL EFFECTS OF INTRATHECAL FENTANYL VS INTRAVENOUS FENTANYL AS ADJUNCT TO SPINAL ANAESTHESIA WITH LEVOBUPIVACAINE

Dr. Prithi Jain, Dr. Lulu Sherif

Abstract :

This study compared effects of intrathecal fentanyl versus similar dose of intravenous fentanyl for lower abdominal and orthopaedic surgeries, with respect to the duration, and quality of Levobupivacaine induced spinal block. Patients were randomly allocated into 3 groups.

In Group IC (control) 2.5 ml of Levobupivacaine with 0.5 ml normal saline was given intrathecally and 0.5ml of NS was given IV immediately following spinal anaesthesia.

In Group IT along with 2.5ml of 0.5%Levobupivacaine, 0.5 ml of fentanyl (25 micrograms) was given intrathecally and IV 0.5 ml of NS was given.

In Group IV 2.5ml of Levobupivacaine 0.5 % with 0.5 ml normal saline was given intrathecally and 0.5ml of fentanyl (25 micrograms) was given IV

According to our observations, there was longer duration of motor blockade in group IT and IV compared to that of Group IC, results being statistically significant.

When compå the duration of motor blockade in Group IT with Group IV the values were almost similar. Hence, we inferred that there is not much difference when fentanyl is administered intrathecally or intravenously.