POST OPERATIVE ANALGESIC EFFECT OF INTRATHECAL FENTANYL ON HYPERBARIC BUPIVACAINE FOLLOWING TOTAL ABDOMINAL HYSTERECTOMY

Konsam Jina Devi; Kangjam Sholay Meitei

Volume : VIII, Issue : VI, June - 2018

POST OPERATIVE ANALGESIC EFFECT OF INTRATHECAL FENTANYL ON HYPERBARIC BUPIVACAINE FOLLOWING TOTAL ABDOMINAL HYSTERECTOMY

Konsam Jina Devi, Kangjam Sholay Meitei

Abstract :

Objective: This prospective, randomised,double blinded study was carried out to evaluate the post–operative analgesic effect of intrathecal fentanyl mixed with hyperbaric bupivacaine following total abdominal hysterectomy.Methods: This study was conducted on sixty adult patients who underwent elective total abdominal hysterectomy. They were randomised into two groups to receive intrathecal bupivacaine heavy 0.5% plus normal saline 0.25 ml (Group I) and equal amount of intrathecal bupivacaine plus 0.25 ml of fentanyl citrate (Group II). Results: There was no significant differences in the duration of surgery between the groups. However, the duration of post–operative analgesia was significantly longer in the fentanyl. Intraoperative hemodynamic stability was better in the fentanyl group though it was not statistically significant.Conclusion: The addition of fentanyl to intrathecalbupivacaine significantly increases the intraoperative hemodynamic stability and the duration of post–operative analgesia without significant side effects.