COMPARATIVE STUDY OF EFFICACY OF LOW DOSE BUPIVACAINE AND FENTANYL WITH CONVENTIONAL DOSE OF BUPIVACAINE IN CESAREAN SECTION.

Dr. Safiya Shaikh; Dr. Raksha Anand

Volume : VIII, Issue : II, February - 2019

COMPARATIVE STUDY OF EFFICACY OF LOW DOSE BUPIVACAINE AND FENTANYL WITH CONVENTIONAL DOSE OF BUPIVACAINE IN CESAREAN SECTION.

Dr. Safiya Shaikh, Dr. Raksha Anand

Abstract :

Spinal anaesthesia for cesarean section is the most preferred technique. Addition of opioids like fentanyl to low dose of hyperbaric bupivacaine , augments the analgesic effect of local anaesthetics, provides better hemodynamic stability and good anaesthetic status. Hence this study was planned to assess the duration of post operative analgesia in two groups of parturients, one group receiving inj 0.5% hyperbaric bupivacaine 10mg (2ml) and another group receiving inj 0.5% bupivacaine 7.5mg (1.5ml) + inj fentanyl 25micrograms (0.5ml) = 2ml intrathecally. It was concluded that the total duration of analgesia was prolonged in the group receiving fentanyl with low dose of hyperbaric bupivacaine with a mean of 219.23�17.95 minutes as compared to the group receiving only conventional dose of hyperbaric bupivacaine with a mean duration of 156.27�13.69 minutes.