STUDY OF INTRATHECAL FENTANYL AND BUTORPHANOL AS AN ADJUVANT TO INTRATHECAL BUPIVACAINE IN INFRA- UMBILICAL SURGERIES

Dr. Devashri Chilke, Dr Nishant Kumar, Dr Ankit Shrivastava, Dr. Debarshi Jana

Abstract


Present study was conducted in the department of Anaesthesiology in Durgapur Steel Plant Hospital, Durgapur, West Bengal.   GROUP A (F)- 55 patients who were received intrathecal 0.5% hyperbaric bupivacaine 3ml with fentanyl 25 microgram (0.5 ml) total 3.5ml [n=55]..   GROUP B (B)- 55 patients who were received receive intrathecal 0.5%hyperbaric bupivacaine 3 ml with butorphanol 250 microgram(0.25 ml) by insulin syringe  and normal saline 0.25 ml (total 3.5 ml) [n=55].  

We found that in Group-A (F), 34(61.8%) patients had highest sensory level T6 and 21(38.2%) patients had highest sensory level T8. 35(63.6%) patients had highest sensory level T6 and 20(36.4%) patients had highest sensory level T8. We found that in Group-A (F), the mean of time spinal drugs to sensory level (mean±s.d.) of patients was 1.5091 ± .5045 mints. In Group-B (B), the mean of time spinal drugs to sensory level (mean±s.d.) of patients was 1.4727 ± .5039 mints. In Group-A (F), 4(7.3%) patients had pruritis. In Group-B (B), 2(3.6%) patients had pruritis. Association of pruritis in two groups was not statistically significant (p=0.4010).In Group-A (F), 5(9.1%) patients had nausea& vomiting.

In our study, We concluded that both fentanyl and butorphanol along with bupivacaine, provided adequate anesthesia and analgesia; but significantly lesser analgesic requirement was observed in the group receiving intrathecal butorphanol and bupivacaine mixture compared to intrathecal fentanyl and bupivacaine mixture.


Keywords


Intrathecal fentanyl , butorphanol, bupivacaine and infra- umbilical surgeries

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