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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparative Study Between Two Different Doses of Local Anesthetic with Adjuvant i.e., Opioids Such as Hyperbaric Bupivacaine with Fentanyl in Subarachnoid Block in Case of Emergency Lower Uterine Cesarean Section

Sahidul Shaikh, Koel Mitra, Salma Khatun, Babrak Manuar, Sarmila Guha Banerjee and Habibur Rahaman
Page: 459-464 | Received 24 May 2024, Published online: 24 Jun 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.3.18.459.464

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Abstract

Various adjuvants have been used with local anesthetics in spinal anesthesia to avoid intraoperative visceral and somatic pain and to provide prolonged postoperative analgesia. The new highly selective drug is now being used as a neuraxial adjuvant. The aim of this study was to evaluate the onset and duration of sensory and motor block, hemodynamic effect, postoperative analgesia and adverse effects of fentanyl given intrathecally with hyperbaric bupivacaine. This study was done to compare the block characteristics, relative efficacy and adverse effect of two comparative doses of hyperbaric intrathecal bupivacaine with fixed dose fentanyl in emergency lower uterine caesarean section. This Randomized Controlled, Single-Blinded and Prospective, observational cohort study was done to compare the effects of lower and comparatively higher doses of hyperbaric intrathecal injection of bupivacaine with fentanyl in 100 consenting pregnant mother of ASA II who underwent emergency lower uterine caesarian section during December 2014 till November 2015. The recommended level of regional anaesthesia for LUCS is T4. It was observed that the mean time for duration of sensory block was 115.8±1.53 for Group A and 153.7±2.752 for Group B. On intergroup comparison, there was significant difference in duration of sensory block between two groups (p<0.05). This study concludes that using 10 mg of hyperbaric bupivacaine with 25 mcg of fentanyl in pregnant mothers for subarachnoid block in emergency LUCS has a better perioperative outcome because there is a longer duration of analgesia, a shorter time for onset of sensory and motor block, a longer duration of sensory and motor block, a longer duration of anaesthesia and no significant changes in hemodynamic status due to subarachnoid block.

How to cite this article:

Sahidul Shaikh, Koel Mitra, Salma Khatun, Babrak Manuar, Sarmila Guha Banerjee and Habibur Rahaman. Comparative Study Between Two Different Doses of Local Anesthetic with Adjuvant i.e., Opioids Such as Hyperbaric Bupivacaine with Fentanyl in Subarachnoid Block in Case of Emergency Lower Uterine Cesarean Section.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.18.459.464
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.18.459.464