A Study to Compare the Effects of Low Dose Intrathecal Fentanyl and Low Dose Intrathecal Tramadol Combined with 0.5% Bupivacaine (Heavy) in Patients Undergoing Orthopaedic Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Introduction: Relief of pain during operation and postoperative period is one of the main stay of balanced anaesthesia. Bupivacaine Hydrochloride is known for long procedures due to prolonged action. The addition of opioids has been opted as a method to reach these goals. Aims: To compare the intra-operative effects of a single low dose of intrathecal tramadol and fentanyl with hyperbaric bupivacaine hydrochloride. Materials and Methods: Fifty patients posted for various elective orthopedic procedures were studied in a randomized prospective double blinded manner. Patients will be randomly divided into two following groups. Group A: SAB with addition of 25 μg fentanyl to 3 ml of 0.5% Bupivacaine. Hydrochloride (hyperbaric), Group B: SAB with addition of 25 mg tramadol to 3 ml of 0.5% Bupivacaine Hydrochloride (hyperbaric). Results: During Intraoperative period no significant differences in BP, heart rate and respiratory rate were noted. There was no delay in time to full motor recovery in both the groups of patients. The mean duration of analgesia did not differ in both groups. Mean duration of analgesia in Group A was 565.4 minutes and in Group B was 551 min.Time for two segment regression did not differ in both the groups. The patients showed minimal side effects, like nausea, Vomiting, shivering and pruritis in both groups which was statistically insignificant. Conclusions: Both intrathecal tramadol and fentanyl act synergistically to potentiate bupivacaine induced sensory spinal block. Excellent surgical anaesthesia and an extended analgesia were observed in postoperative period with minimum side effects among both the groups.
Authors and Affiliations
P. Kalyan Chakravarthy
Keywords
Related Articles
- EP ID EP622126
- DOI 10.21088/ijaa.2349.8471.6419.2
- Views 85
- Downloads 0
A Comparative Study between Intrathecal Clonidine and Buprenorphine with Intrathecal Bupivacaine for Lower Abdominal Surgeries
Purpose: Subarachnoid (spinal) block is a safe and effective alternative to general anesthesia when the surgical site is located on the lower extremities, perineum (eg, surgery on the genitalia or anus), or lower body wa...
Direct Conventional Laryongoscopy versus Video Laryngoscopy
Objectives: To compare direct conventional laryngoscopy (DCL) and video laryngoscopy (VL) in patients with difficult airway and to assess whether video laryngoscopy is superior to direct conventional laryngoscopy in diff...
A Comparative Study of Hyperbaric 0.5% Levobupivacaine with Bupivacaine 0.5% for Spinal Anaesthesia in Elective Surgeries
Background: Subarachnoid block is popular and commonly used worldwide. The advantage of an awake patient, minimal drug cost and rapid patient turnover has made this the method of choice for many surgical procedures. Amon...
Study of Spinal Anaesthesia in Stable Eclampsia Patients
Introduction: Anaesthesia for caesarean section in patients with eclampsia has always been a task of challenge. Regional anaesthesia has gained popularity in management of such cases in last few years as it avoids the pr...
Midazolam Pre-Treatment before Etomidate Anaesthesia
Introduction: Etomidate a GABA receptor stimulating hypnotic agent is short-acting, has minimal residual sedation and a favourable haemodynamic profile and is thus a common choice for short term procedures especially in...