A Comparative Study of Bupivacaine,  Bupivacaine with Dexmedetomidine  and Bupivacaine with Fentanyl in Spinal  Anaesthesia for Lower Abdominal Surgery

Dr. Amit A Chandak; Dr. Jay A. Thaker; Dr.Manisha S Kapdi

Volume : II, Issue : VI, June - 2013

A Comparative Study of Bupivacaine, Bupivacaine with Dexmedetomidine and Bupivacaine with Fentanyl in Spinal Anaesthesia for Lower Abdominal Surgery

Dr. Amit A Chandak, Dr. Jay A. Thaker, Dr. Manisha S Kapdi

Abstract :

The present study was designed to 0.5% bupivacaine heavy 3.0ml (15mg) and intrathecal 0.5% heavy Bupivacaine 3.0ml (15mg) with fentanyl 0.5ml (25 ug) and intrathecal 0.5% heavy Bupivacaine 3.0ml (15mg) with Dexmedetomidine 0.05ml (5ug) in lower abdominal surgeries.(20 patients in each group.) Study was conducted in 60 patients of ASA grade 1, aged 20-60yrs, scheduled for lower abdominal surgeries after taking written informed consent. • To compare the onset of sensory and motor block • To compare the duration of sensory and motor block • To assess the duration of post op analgesia • To compare hemodynamic changes • To observe side effect Bupivacaine is the most commonly used local anaesthetic in spinal anaesthesia. The use of adjuvants with local anaesthetics provides prolonged and superior quality of anaesthesia and postoperative analgesia with relatively small doses of individual drugs with less requirement of postoperative analgesia.