Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  4, Issue 4, Oct-Dec 2017, Pages 1142-1146
 

Original Article

Assessment of Sensory and Motor Blockade by Bupivacaine with Dexmeditomedine or Fentanyl as Adjuvant in Lower Abdominal and Lower Limb Surgeries

Gurudatta K.N.1, Ashwini2

1Associate Professor 2Assistant Professor, Department of Anaesthesiology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka 577201, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.36

Abstract

Introduction: In the present-day practice of Anaesthesiology Bupivacaine is the most commonly used drug for subarachnoid block. Many adjuvants have been tried to improve the quality of analgesia and to prolong the duration of action. The present study was conducted to assess the efficacy between dexmedetomedine versus Fentanyl as an adjuvant to Bupivacaine in lower abdominal and lower limb surgeries. Methods: 60 patients of ASA gr I and II aged between 18-60 years undergoing elective lower abdominal, urologic, lower limb surgeries were selected and divided into two groups of 30 each. Group “BP” received intrathecally 12.5mg 0.5% of Bupivacaine + 5 µg of dexmeditomedine while group “BF” received 0.5% Bupivacaine +12.5µg of Fentanyl. Onset of sensory and motor block, highest level of sensory blockade, duration of analgesia was assessed. Result: The onset of Sensory and motor blockade was same in both the groups. Duration of sensory block and analgesia was significantly prolonged in Dexmeditomedine group. So also, was the duration of motor block. Conclusion: Dexmeditomedine potentiates Bupivacaine spinal anaesthesia more than Fentanyl.


Keywords : Subarachnoid Block; Dexmeditomedine; Fentanyl; Bupivacaine. 
Corresponding Author : Gurudatta K.N., Associate Professor, Department of Anaesthesiology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka 577201, India.