Evaluate post–operative analgesic efficacy of epidural injection sufentanil citrate (single bolus of 30 micrograms) in case of major lower abdominal surgeries

Dr Jayshree Prajapati; Dr Ankit Chauhan; Dr Hiren Parmar

Volume : V, Issue : IV, April - 2016

Evaluate post–operative analgesic efficacy of epidural injection sufentanil citrate (single bolus of 30 micrograms) in case of major lower abdominal surgeries

Dr Jayshree Prajapati, Dr Ankit Chauhan, Dr Hiren Parmar

Abstract :

Background: Pain is not just a sensory modality but it is an experience. To define pain is �An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage�. Anaesthesiologist trained in pain management is in a unique position to contribute multidisciplinary pain management. Aims and objectives of study: (1) To study quality of postoperative analgesia (2)To study duration of postoperative analgesia.(3) To evaluate haemodynamic and respiratory effects of the technique.(4) Cost effectiveness of the technique.(5) To evaluate untoward effects or complications and their severity. (6) Patient and surgeon�s acceptance. Material and methods: The study design includes 30 patients aged between 20 to 70 years of ASA Grade I and II. In all patients postoperative analgesia was provided by epidural sufentanil. The patients were scheduled for major abdominal gynaecological and vascular surgeries. All of the patients were underwent surgery under epidural catheter in place. Those patients in whom the necessity for combined general anaesthesia raised due to incompleteness of block were excluded from study. Results: 15 patients (50%) had an onset of analgesia within minutes out of which 8 were male (26.67%) and 7 were female (23.37%), while 13 patients had an onset of analgesic between 6 to 10 minutes. None of the patients had showed onset beyond 16 minutes. 11 patients (36.66%) had a pulse rate changes between 0 and 5 beats/minute from the mean baseline value. 9 patients (30%) had a pulse rate change between 5 to 9 beats/minute. The total number of patients who showed pulse rate change between 10 and 14 beats/minute were 9 (30%). None of the patients had shown pulse rate change between 15 to 19 beats/minute and only 1 patient showed decreased in pulse rate which was decrease in pulse rate > 20 which was accounting for 3.33%. 20 patients (66.66%) had a Blood pressure changes between 0 to 10 mmHg from the mean baseline value. Minimum duration of analgesia observed was 2 hours. Out of 30 patients total of 6 patients (20%) had shown duration of analgesia for 2 hours. At the end of 1 hour all 30 patient had either no pain (0 pain score) or just plain (1–3 pain score). Conclusion: Epidural sufentanil citrate 30 microgram is a safe opioid analgesic for postoperative pain relief because of its less irritable side effects and relative rapid onset of analgesia and moderate duration up to 6 hours. Ideal drug for epidural administration is yet to be established.