Comparative study of quality of subarachnoid blocks for caeasarean section by using bupivacaine alone & bupivacaine - fentanyl combination

Authors

  • Manisha Paul Dept. of Anaesthesiology, Square Hospital, Dhaka
  • Satyajit Dhar Dept of Anaesthesiology and Intensive care, Chittagong Medical College Hospital
  • Debasish Banik Associate Professor, Dept of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka.
  • AK Quamrul Huda Associate Professor, Dept of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka.
  • Moinul Hossain Associate Professor, Dept of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka.
  • Gulshan Ara Choudhury Associate Professor, Dept of Anaesthesiology and Intensive care, Chittagong Medical College Hospital
  • AKM Shamsul Alam Professor and Head, Dept of Anesthesiology and Intensive care, Chittagong Medical College Hospital.
  • AYF Elahi Chowdhury Exprofessor National Institute of Cardiovascular Diseases, Dhaka

DOI:

https://doi.org/10.3329/jbsa.v22i2.18144

Keywords:

subarachnoid block, bupivacaine-fentanyl combination, quality of block

Abstract

Background: The popularity of subarachnoid block (SAB) in cesarean section in recent times is due to better understanding of the physiological changes associated with it and proper appreciation of its advantages & complications. Hyperbaric bupivacaine in adequate dose (12mg or more) for SAB often causes complications like hypotension, shivering, nausea, vomiting, chest pain & epigastric pain.

Objectives: The aim of study is to reduce these complications by using bupivacaine-fentanyl combination.

Method: 150 patients of ASA grade I & II waiting for cesarean section under SAB were randomly allocated into three equal groups.
Group A : Received 0.5% hyperbaric bupivacaine-10 mg (2ml)
Group B : Received 0.5% hyperbaric bupivacaine-10 mg (2ml) & fentanyl- 15 ?g [0.3ml]
Group C : Received 0.5% hyperbaric bupivacaine - 8 mg (1.6ml) & fentanyl- 15 ?g. [0.3ml]
Parametric data like pulse, blood pressure, among the groups were analyzed by ANOVA test & nonparametric data like chest discomfort, epigastric pain, nausea, vomiting were analyzed by chi-square test.

Results: In this study we found better analgesia & quality of block in bupivacaine-fentanyl group than bupivacaine alone group (p<.001).

Conclusion: By adding fentanyl we can reduce the dose of bupivacaine & also improve the quality of block.

DOI: http://dx.doi.org/10.3329/jbsa.v22i2.18144

Journal of BSA, 2009; 22(2): 61-65

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Published

2014-03-01

How to Cite

Paul, M., Dhar, S., Banik, D., Huda, A. Q., Hossain, M., Choudhury, G. A., Alam, A. S., & Chowdhury, A. E. (2014). Comparative study of quality of subarachnoid blocks for caeasarean section by using bupivacaine alone & bupivacaine - fentanyl combination. Journal of the Bangladesh Society of Anaesthesiologists, 22(2), 61–65. https://doi.org/10.3329/jbsa.v22i2.18144

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Original Articles