Volume : IX, Issue : V, May - 2019

Effect of Intrathecal hyperbaric Bupivacaine with different Volume of Normal Saline

Dr. Veena Arora, Dr. Umesh Uraiya, Dr. Neha Mishra

Abstract :

Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. The role of Bupivacaine in spinal anesthesia is well documented. It is a potent long acting amide linked local anesthetic used for infiltration, nerve block, epidural and spinal anesthesia of long duration. We studied the effects of intrathecal hyperbaric bupivacaine with different volume of normal saline on maximum level of sensory block, intensity of block, time to two segment regressions V, time to S2 regression and time to discharge. We also studied any untoward effects of intrathecal bupivacaine with different volume of normal saline on perioperative period. This study was carried out in LLR and associated Hospitals of GSVM Medical College, Kanpur. We selected 100 cases of either sex, between 15–65 years, belonging to ASA I and II who underwent short duration procedures below umbilicus. After pre–medications patients were divided into 3 groups: Group 1 – 3 ml injection of hyperbaric bupivacaine 0.5% (15mg) with dextrose of 8% (240mg). Group 2 – 2ml of injection of hyperbaric bupivacaine 0.5% plus 1 ml normal saline. Injection bupivacaine 0.33% (10 mg) plus dextrose 5.3%(160mg). Group 3 – 1.5ml of injection of hyperbaric bupivacaine 0.5% plus 1 ml normal saline. Injection bupivacaine 0.33% (10 mg) plus dextrose 5.3% (160mg). The purpose of our study was to use a local anesthetic in spinal anesthesia that has shorter duration of action, more hemodynamic stability and less neurological toxicity. Lignocaine in spite of shorter duration of action has neurological toxicities. We were successful in using low dose bupivacaine keeping the volume constant yielding shorter duration of block, hemodynamic stability and no post spinal neurological complaints. In conclusion, the group 4 (5mg ) does not have better quality of motor blockade, there is no significant difference in the recovery among the group 3 and group 4 patients but the quality of block was better in group 3(7.5mg). So we find the use of 0.25% bupivacaine(7.5mg) with dextrose 4% more optimal for surgery

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

EFFECT OF INTRATHECAL HYPERBARIC BUPIVACAINE WITH DIFFERENT VOLUME OF NORMAL SALINE, Dr. Veena Arora, Dr. Umesh Uraiya, Dr. Neha Mishra INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-5 | May-2019

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