Analgesia with bupivacaine under subarachnoid block in patients undergoing lower abdominal surgeries

https://doi.org/10.53730/ijhs.v6nS9.12481

Authors

  • S. Saurav Mohan Department of Anaesthesia, Abvims and Dr Rml Hospital
  • G. Narendren Department of Anaesthesia, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research
  • D. Fantin Joel Calingarayar Department of Anaesthesia, Vinayaka Mission Medical College and Hospital, Vinayaka Mission’s Research Foundation (Deemed To Be University)

Keywords:

Analgesia, Bupivacaine, Lower limb surgeries, Motor block, Sensory block, Spinal anesthesia

Abstract

Background and Aim: To study and compare the hemodynamic stability and duration of analgesia in spinal anaesthesia among bolus versus lower fractional doses of bupivacaine in the arachnoid block for the patients undergoing lower abdominal surgeries specifically urologic, pelvic, and lower limb surgeries. Methods: Interventional Randomized Comparative case-control study done among 70 study participants to compare analgesia with bupivacaine under subarachnoid block in patients undergoing lower abdominal surgeries. Results: To sum up, we found that the time for onset of the sensory block with a fractionated dose of bupivacaine in spinal anesthesia was significantly lesser than the time taken with a bolus dose and took a significantly longer time to regress. Conclusion: We found that patients who received a fractionated dose of bupivacaine had a faster onset of motor blockade compared

Downloads

Download data is not yet available.

References

Badheka J, Oza V, Vyas A, et al. Comparison of fractionated dose versus bolus dose injection in spinal anaesthesia for patients undergoing elective caesarean section: A randomised, double-blind study. Indian J Anaesth. 2017; 61(1):55.

Boyne I, Varveris D, Harten J, et al. National survey of dose of hyperbaric bupivacaine for elective cesarean section under spinal anesthesia at term. Int J Obstet Anaesth ; 11:20.

Cobeña-Morante, G. K., & Bran-Cepeda, H. C. (2022). Oral language difficulties in patients aged 4 to 7 years at the chone type C health center. International Journal of Social Sciences and Humanities, 6(2), 142–150. https://doi.org/10.53730/ijssh.v6n2.10322

Covert CR, Fox GS. Anesthesia for hip surgery in the elderly. Can J Anaesth;36:311-319

Danelli G, Zangrillo A, Nucera D, et al. The minimum effective dose of 0.5% hyperbaric spinal bupivacaine for cesarean section. Minerva Anestesiol ; 67:573-577.

Dharam S. Nanavati, Urmi Mittal Dave, Deepa Gondalia, et al.Comparative Evaluation Of Hyperbaric Bupivacaine Versus Isobaric Ropivacaine In Spinal Anaesthesia In Lower Abdomen And Lower Limb Surgery. Int J Pharm Sci Res, 2015; Vol. 6(4): 1602-1608.

Moran DH, Perillo M, LaPorta RF, et al.Phenylephrine in the prevention of hypotensioninal anesthesia for cesarean delivery. J Clin Anesth ; 3:301-305

Riley ET, Cohen SE, Rubenstein AJ, et al. Prevention of hypotension after spinal anesthesia for cesarean section: Six percent hetastarch versus lactated Ringer’s solution. Anesth Analg; 81:838-842

Sembiring, T. B., Maruf, I. R., Susilo, C. B., Hidayatulloh, A. N., & Bangkara, B. M. A. S. A. (2022). Health literacy study on approaching forest and boosting immune system strategy. International Journal of Health Sciences, 6(1), 40–49. https://doi.org/10.53730/ijhs.v6n1.3145

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Sutter PA, Gamulin Z, Forster A. Comparison of continuous spinal and continuous epidural anesthesia for lower limb surgery in elderly patients: a retrospective study. Anesthesia; 44:47-50

Published

04-09-2022

How to Cite

Mohan, S. S., Narendren, G., & Calingarayar, D. F. J. (2022). Analgesia with bupivacaine under subarachnoid block in patients undergoing lower abdominal surgeries. International Journal of Health Sciences, 6(S9), 1226–1235. https://doi.org/10.53730/ijhs.v6nS9.12481

Issue

Section

Peer Review Articles