Study of addition of fentanyl to bupivacaine in subarachnoid block administered for cemented bipolar prosthesis in geriatric patients population
Journal: Indian Journal of Clinical Anaesthesia (Vol.5, No. 4)Publication Date: 2018-09-28
Authors : Sarita Gohiya Vineet Kumar Gohiya Nisha Singh;
Page : 501-504
Keywords : Analgesia; Bupivacaine; Fentanyl; Geriatric patients; Intrathecal; Spinal anaesthesia.;
Abstract
Introduction: The most restricting component of regional anaesthesia in geriatric patients is hypotension inspite of several advantages. The present study aimed to reduce hypotensive effect of local anaesthetics by reducing their dose and by adding fentanyl. Materials and Methods: We selected 120 elderly patients (?65 years) scheduled for cemented bipolar prosthesis under spinal anaesthesia. They were randomized into two groups (Group - I: n=60, Group - II: n=60). Group I patients received 2.5 ml of 0.5% hyperbaric Bupivacaine and Group II patients received 2 ml of 0.5% hyperbaric Bupivacaine plus 25 µgm fentanyl. Duration of surgery, hemodynamic variables, adverse effect, need for analgesic supplementation were recorded. Result: Hypotension was more frequent in Group-I than Group-II (83.3% versus 8.33%). Bradycardia is more in Group-I than in Group-II (66.67% versus 5%). Need of I. V. Fentanyl for alleviation of discomfort was same in both groups. Conclusion: Addition of intrathecal fentanyl provides better hemodynamic stability without compromising quality of anaesthesia.
Other Latest Articles
- Effect of intraoperative iv dexmedetomidine on emergence agitation after sevoflurane anaesthesia in children undergoing tonsillectomy with or without adenoidectomy
- Comparing the ease of identifying the subarachnoid space at midline of L3 -L4 interspace by preprocedural ultrasound versus landmark technique - A randomized control study
- लोक साहित्य, संस्कृति और इतिहास (राजस्थान के विशेष संदर्भ में)
- Attenuation of pressor response to laryngoscopy and intubation: Dexmedetomidine Vs. fentanyl premedication
- Anaesthetic management of endobronchial ultrasound guided trans bronchial needle aspiration: Our experience with laryngeal mask airway
Last modified: 2019-08-29 17:33:46