Volume : VIII, Issue : III, March - 2018

EVALUATION OF THE EFECT OF INTRATHECAL FENTANYL CITRATE AS AN ADJUVANT WITH HYPERBARIC BUPIVACAINE FOR CAESAREAN SECTION

Dr. Shanthi Paulraj, Dr. C. Kumaran

Abstract :

 

Aim :To evaluate the effect of intrathecal fentanyl in improving the quality of anesthesia with 0.5% hyperbaric bupivacaine for lower segment caesarean section. Materials and  methods: 60 female patients who underwent caesarean section were taken up for the study. The patients belonging to as ASA grade I and grade II were selected for the study. Group I patients received 1.7ml of  0.5 % hyperbaric bupivacaine with 0.5ml of normal saline (CONTROL GROUP). Group II patients received 1.7ml of 0.5 % hyperbaric bupivacaine with 0.5ml (25mcg) of fentanyl (STUDY GROUP). The following parameters were assessed, 1) The onset and duration of sensory block 2) onset of grade 3 block 3) quality of surgical anesthesia 4) period of complete analgesia 5) period of effective analgesia &6),side effects .Observation and Results :The range of onset of grade –3 motor block does not vary in both the groups and it was statistically in significant .The maximal sensory level in Group – I was T5 while it was T4 in Group II which was statistically significant. The quality of intra operative surgical anesthesia was excellent in more than 90 % of patients in Group II compared to 63% in Group I. The mean time for regression to L1 was 118.5± 48.25 min in Group I compared to 153.96 ±  20.31 min in Group II. This was statistically significant (p less than 0.001).The period of complete analgesia was longer in  fentanyl group (Group II )

,and it was 127.2±  5.46 min in Group I & 188.36± 16.32 min in group II. The mean period of effective analgesia was 152.6 38.91 min in group I as compared to 245.13± 134.44 min in group II. This value was stastically significant (p<0.001).Conclusion: Addition of 25µg of fentanyl to 0.5%  hyperbaric bupivacaine intrathecally provides an improved quality of surgical anaestheisa and analgesia than bupivacaine alone in caesarean section.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Shanthi Paulraj, Dr.C.Kumaran, EVALUATION OF THE EFECT OF INTRATHECAL FENTANYL CITRATE AS AN ADJUVANT WITH HYPERBARIC BUPIVACAINE FOR CAESAREAN SECTION, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-3 | March-2018

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