Comparative study of intrathecal fentanyl and dexmedetomidine as adjuvant with isobaric ropivacaine in spinal anaesthesia for vaginal hysterectomy
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 3
Abstract
Background: Women have problem of Pelvic organ prolapsed (POP) in letter years of their life and it adversely effects their life quality. Hence they may require surgical intervention to correct the prolapse. For this surgery regional anaesthesia has good patient and surgeon acceptability. It also minimize the patient hospital stay postoperatively. However there is limited data available in which compare fentanyl and dexmedetomidine as adjuvant to isobaric ropivacain for vaginal hysterectomy. This lacunae in knowledge prompted us to plan present study.Objectives: Isobaric Ropivacaine with fentanyl (Group RF) and isobaric Ropivacaine with dexmedetomidine (Group RD) for vaginal hysterectomy was compared regarding: Onset, duration and extent duration of sensory block, motor block and hemodynamic condition of patients. Methods: A double-blind comparative study was conducted with seventy patients at Panna DhaiMahilaChikitsalya, R.N.T. Medical College, Udaipur, Rajasthan. After applying inclusion and exclusion criteria participants who are ready to give written consent to participate in study are randomly divided in two groups and as per study protocol they were given anaesthesia and assessed for outcome. Results: Our study participants had comparable physical profile. In present study onset of sensory block was comparable in Group RF and Group RD. Sensory level of T4 was achieved in all patients of group RF, whereas range of T4 to T6 was achieved in Group RD. Duration of motor block was comparatively longer in Group RD as compared to Group RF.
Authors and Affiliations
Rekha Bayer, Devendra Verma
Keywords
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- EP ID EP616939
- DOI 10.26611/101510310
- Views 212
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