Comparative evaluation of analgesic efficacy of morphine, Butorphanol and fentanyl along with local Anaesthetics for management of post-operative pain
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 11
Abstract
Most patients who undergo surgical procedures experience acute postoperative pain, but evidence suggests that less than half report adequate postoperative pain relief. Many preoperative, intraoperative, and postoperative interventions and management strategies are available for reducing and managing postoperative pain. Hence based on the literature findings the current study was planned to evaluate the post-operative pain by administration of opioid analgesics, Morphine, Butorphanol and Fentanyl along with local Anaesthetic Bupivacaine, when given epidurally. The 40 patients admitted to Department of Surgery and referred to department of Anaesthesia in IMS BHU, Varanasi from Jan 2016 to July 2016 for the epidural anaesthesia were included in the present study. The patients undergoing lower abdominal surgery and suitable for the epidural anaesthesia were included in the study. From the above studies it can be conclude that Morphine or Butorphanol along with Bupivacaine can be safely given epidurally to obtain effective post-operative analgesia after lower abdominal surgeries. The duration of sedation is seen maximum in morphine administered patients. The Butorphanol administered patients observed immediate onset of sedation. The maximum number of patients had seen the nausea and vomiting side effects in morphine group patients. In Bupivacaine administered patients are observed with hypotension as side effects prominently.
Authors and Affiliations
Dr. Saurabh Suman, Dr. Akhilesh Kumar Singh, Dr. Yashpal Singh, Dr. DK Singh
Keywords
Related Articles
- EP ID EP587656
- DOI -
- Views 154
- Downloads 0
Morphological assessment of the basilar artery in human cadavers from West Bengal population
The anatomical variations of the basilar artery (BA) can cause loss of memory and depression besides causing transient ischemic attacks, atherosclerosis and cerebral infarction based on its area of blood supply. Hence th...
Effect of vitamin “C” supplementation on lipid profile composition
Throughout the twenty first century the health science focused primarily on curing diseases with powerful drugs, more sophisticated diagnostic tests and more effective therapies. Today the emphasis is on health expectanc...
Variations in renal arteries in human cadaver
Renal arteries supply blood to the kidneys. Over 2 million people dies every year out of kidney failures. Urologist has taken huge interests in the study of variations of renal arteries. Out of 8 sampled unpreserved cada...
Relationship of iron deficiency anaemia with folic acid and vitamin B12 deficiency in children
Paediatric anaemia refers to a hemoglobin or haematocrit level lower than the age-adjusted reference range for healthy children. Physiologically, anaemia is a condition in which reduced haematocrit or haemoglobin levels...
Results of prostatic fluid analysis of 80 patients of prostatitis syndrome from Jan. 2014 to Dec. 2017
Prostatitis means inflammation of prostate by definition, is a common diseases in middle age men causing lower urinary tract symptomatology such as burning micturition, perineal discomfort, low backache, sexual dysfuncti...