A comparative study of fentanyl and tramadol as adjuvants to intrathecal hyperbaric bupivacaine 0.5% in caesarean deliveries

Rohini Arora; Syed Azizur Rahman; Puja Jain Dewan; Ambri Agarwal

doi:10.53730/ijhs.v6nS5.10436

Authors

Rohini Arora Assistant Professor, Department of Anaesthesiology, Noida International Institute of Medical Sciences(NIIMS), Noida International University, 17A Plot No.1, NIU Campus Yamuna Expressway Sector 17A, Greater Noida, Noida, UP, India.
Syed Azizur Rahman Assistant Professor, Department of Medicine, Noida International Institute of Medical Sciences(NIIMS), Noida International University, 17A Plot No.1, NIU Campus Yamuna Expressway Sector 17A, Greater Noida, Noida, UP, India.
Puja Jain Dewan Assistant Professor, Department of Obstetrics and Gynaecology, Noida International Institute of Medical Sciences(NIIMS), Noida International University, 17A Plot No.1, NIU Campus Yamuna Expressway Sector 17A, Greater Noida, Noida, UP, India.
Ambri Agarwal
ambri.agarwal@yahoo.com
Associate Professor, Department of Obstetrics and Gynaecology, Noida International Institute of Medical Sciences (NIIMS), Noida International University, 17A Plot No.1, NIU Campus Yamuna Expressway Sector 17A, Greater Noida, Noida, UP, India.

Keywords:

Hyperbaric bupivacaine, Intrathecal, Fentanyl, Tramadol, Spinal anaesthesia, Caesarean deliveries, Analgesia, Muscle relaxation

Abstract

Background: Spinal anesthesia is a preferred method of anesthesia for surgery on elective caesarean section all over the world because of its efficacy, rapidity, reduction in blood loss, and protection against thromboembolic episodes. It offers excellent operating conditions like dense analgesia and adequate muscle relaxation. However it suffers from certain inherent disadvantages like fixed duration of anaesthesia and haemodynamic instability. Aims and Objectives: To evaluate the efficacy of intrathecal fentanyl and intrathecal tramadol as adjuvants to hyperbaric bupivacaine 0.5% in elective caesarean section patients in terms of duration of analgesia and intra-operative hemodynamic stability. Materials And Methods: This prospective, randomised, double blinded study was done over a period of 18 months. All the patients who underwent elective lower segment caesarean section under subarachnoid block between the age of 18-35yrs, body mass index between 18.5 to 24.9 Kg/m2 and belonging to ASA (American society of Anesthesiologists) Physical status II in Noida International Institute of Medical Sciences(NIIMS), Noida International University, Noida, UP, India. 62 patients undergoing elective caesarean section with 31 patients in each group.

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