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• W2186520611 abstract "Introduction: Regional Anaesthesia particularly spinal Anaesthesia is one of the most commonly used technique world wide. Risk of Neuropathies of 5% Lidocaine, Bupivacaine and Ropivacaine are the alternatives for routine use. The duration of the drugs were 2-4 hrs and maximal allowable volume and doses are associated with high incidence of side effects despite suitable precautions. A number of Opioid adjuvants are used to spinal anaesthesia with reduced doses of local anaesthetics to prolong the post operative analgesia, avoiding residual motor paralysis and potential side effects of Opioids given through other routes (IM/IV) for post operative pain relief. Fentanyl Citrate an opioid has been used as an adjuvant in various clinical trials. The aim of the study was to compare the subarchnoid block characteristics with low dose fentanyl with intrathecal bupivacaine. Methodology: After institutional ethics committee approval and written informed consent, 50 Patients of ASA I&II belonging to both sexes posted for elective lower abdominal and orthopedic surgeries. They were randomnly allocated into 2 groups, 25 each. Group A received 0.5% hyperbaric bupivacaine 2.5ml with 0.9% normal saline 0.5ml. Group B received 0.5% hyperbaric bupivacaine 2.5ml with fentanyl 0.5ml 25µg. Total volume made up to 3ml to achieve subarchnoid block, Sensory block, motor block, haemodynamic characteristics adverse effects, duration of post operative analgesia statistical analysis and results were noted in two groups. Statistical analysis was done with one way analysis of variance. Duration of Sensory, Motor blockade significantly longer in group B. (P<0.01). Time to first request of analgesia was significantly longer in group-B than group-A (P<0.001) Conclusion: Addition of Fentanyl Citrate to intrathecal bupivacaine prolonged the duration of sensory, motor and post operative analgesia without causing significant deleterious effects on the patients." @default.
• W2186520611 created "2016-06-24" @default.
• W2186520611 creator A5047090039 @default.
• W2186520611 date "2015-01-01" @default.
• W2186520611 modified "2023-09-26" @default.
• W2186520611 title "Comparative Study Of 0.5% Hyperbaric Bupivacaine Versus 0.5% Hyperbaric Bupivacaine with Fentanyl on the Characteristics of Spinal Anaesthesia for Lower Abdominal Surgeries - A Prospective Randomized Study" @default.
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