OBSERVATIONAL STUDY OF DEXMEDETOMIDINE 1�G/KG WITH 0.25% BUPIVACAINE VERSUS FENTANYL 1�G/KG WITH BUPIVACAINE IN SINGLE SHOT EPIDURAL IN BELOW UMBILICAL SURGERIES.

Dr TABREZ QADRI MANGOI; Dr HETAL PARIKH

Volume : VIII, Issue : II, February - 2018

OBSERVATIONAL STUDY OF DEXMEDETOMIDINE 1�G/KG WITH 0.25% BUPIVACAINE VERSUS FENTANYL 1�G/KG WITH BUPIVACAINE IN SINGLE SHOT EPIDURAL IN BELOW UMBILICAL SURGERIES.

Dr Tabrez Qadri Mangoi, Dr Hetal Parikh

Abstract :

INTRODUCTION: In the modern era, regional anaesthesia is replacing general anaesthesia in all most all the surgeries below umbilicus. Epidural anaesthesia is considered better in terms of duration of analgesia.

MATERIAL AND METHODS: 60 adult patients of ASA class I and II, posted for elective below umbilical surgeries were divided into two groups. Group D were given a single shot dose of epidural Bupivacaine 0.25% with Dexmedetomidine 1µg/kg in 20ml volume while Group F were given epidural Bupivacaine 0.25% with Fentanyl 1µg/kg in 20ml volume .Sensory and motor block characteristics with total duration of analgesia was compared.

RESULTS: There was no difference in the demographic profile between groups. Onset of motor block and duration of analgesia was prolonged in dexmedetomidine group.

CONCLUSION: 0.25% Bupivacaine with Dexmedetomidine 1µg/kg showed better clinical profile as compared to Fentanyl 1µg/kg in single shot epidural anaesthesia.