Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Intrathecal Hyperbaric Bupivacaine‐Fentanyl Versus Hyperbaric Bupivacaine Saline in Appendicectomy Patients, Attending the Tertiary Care Centre, South India
Daria Hussain Soudagar, Bezawada Praveen Gandhi, Sravani Chittela and Sowmya Vicharapu
Page: 62-67 | Received 25 Apr 2024, Published online: 05 Jun 2024
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Abstract
The aim of the present study is to compare the effectiveness of intrathecal hyperbaric bupivacaine‐fentanyl and intrathecal hyperbaric bupivacaine‐saline in appendicectomy patients. Hospital based multi‐centric randomized comparative double‐blind study was carried out for the period of one year. 100 cases of appendicitis which attended the general surgery department and were posted for surgery under spinal anesthesia were included in this study. Both groups included mostly 41‐50‐year‐old patients. Both groups had equal male and female representation. When subarachnoid block characteristics were examined, group S had a considerably reduced time reaching T10 level. The maximum degree of sensory block (T4 and T5), duration to attain it and bromage 3 onset showed no difference. Group S' relapse to bromage was greatly delayed. The mean systolic blood pressure was insignificant. Significant mean diastolic blood pressure findings were not found. In our research, nausea and pruritis were reported but negligible. Visual analog scale for postoperative pain. Rescue analgesic was administered and timed for VAS >6. Intrathecal hyperbaric bupivacaine‐fentanyl provides a suitable spinal anesthetic alternative to saline. It improves perioperative/intra operative analgesia, hemodynamic stability, side effects and 24‐hour rescue analgesic use.
How to cite this article:
Daria Hussain Soudagar, Bezawada Praveen Gandhi, Sravani Chittela and Sowmya Vicharapu. Intrathecal Hyperbaric Bupivacaine‐Fentanyl Versus Hyperbaric Bupivacaine Saline in Appendicectomy Patients, Attending the Tertiary Care Centre, South India.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.62.67
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.62.67