A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Tyagi, Pradeep
- Comparision of Bupivacaine alone and its Combination with Different Doses of Fentanyl in Spinal Anesthesia for Cesarean Section: a Prospective Randomized Study
Authors
1 Department of Anaesthesiology & Critical Care, School of Medical Science and Research, Sharda University, Greater Noida (U.P.), IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 19-23Abstract
Background: Intrathecal administration of local anesthetics alone does not provide adequate analgesia during caesarian sections. The visceral pain associated with peritoneal traction can be obliterated by the addition of intrathecal opioid, due to their synergism.
Aims: The aim of this study was to observe the effect of intrathecal bupivacaine alone and in combination with fentanyl in two different doses.
Settings and Design: We performed a prospective randomized study on 90 consecutive patients undergoing caesarian section in our hospital.
Methods and Material: Ninety selected patients, who underwent cesarean section, of age ranging from 20-35 years, were randomized into three equal groups. Group I received hyperbaric bupivacaine (B) alone, where as group II and group III received hyperbaric bupivacaine along with 12.5 μg and 25 μg of fentanyl respectively (BFL&BFH). The quality and durations of analgesia was compared between the three groups. The effects of drug on neonate were monitored on the basis of Apgar score.
Statistical analysis: Unpaired't' test&'Z' test were used for statistical analysis.
Results: There were no differences in regard to Apgar scores between all three groups. The synergistic advantages were evident in both combination groups with respect to patient's comfort and ease of surgeons; but the maternal side effects were more in the group with higher dose of fentanyl (BFH). No adverse effect on neonates was observed in all three groups.
Conclusion: Since the clinical dose of spinal bupivacaine required to obliterate visceral pain causes undesirable side effects. Addition of fentanyl with bupivacaine, reduces the dose of local anesthetics in achieving adequate surgical anesthesia. We conclude that the combination of 12.5 μg of fentanyl along with 2ml of 0.5% hyperbaric bupivacaine achieved adequate anesthesia with minimal maternal and neonatal adverse effects.
Keywords
Bupivacaine, Cesarean Section, Intrathecal Fentanyl, Spinal Anesthesia
References
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- Comparison of I-Gel and LMA-supreme Laryngeal Mask Airway in Laparoscopic Surgery: a Prospective Randomized Study
Authors
1 Department of Anaesthesiology School of Medical Sciences & Research, Sharda Hospital, Greater Noida, IN
2 Department of Anesthesiology, School of Medical Sciences & Research, Greater Noida, Sharda University, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 298-301Abstract
Background: The LMA Supreme (LMA) and the i-gel are two supra-glottic airway devices, which offer potential benefits in general anaesthesia.
Aims: The aim of this study was to observe benefits of LMA Supreme over i-gel for ventilation in patients undergoing laparoscopic surgery.
Settings and Design: We performed a prospective randomized study on 100 consecutive patients undergoing laparoscopic surgery in our hospital.
Patients and Method: Hundred selected patients, who underwent laparoscopic surgery, of age ranging from 20-55 years, were randomized into two equal groups. In the group I (n=50) LMA SUPREME (No.3 & 4) and group II (n=50) i-gel (No. 3 & 4) were introduced for ventilation during general anaesthesia. In this study, we compared the insertion success rate and ventilation profile between the LMA Supreme and the i-gel groups undergoing laparoscopic surgery. The first-time success rate, insertion time, ease of insertion of gastric tube and complications were analysed.
Statistical analysis: Unpaired 't' test & 'Z' test were used for statistical analysis.
Results: We found better first time success rate, and fewer failures with the LMA Supreme compared with the i-gel, indicating that the LMA Supreme may be preferable for mechanical ventilation in laparoscopic surgeries.
Conclusion: LMA Supreme has an edge over the i-gel with respect to ease of insertion of device and gastric tube with minimal complication in mechanical ventilation for routine laparoscopic surgery.
Keywords
LMA Supreme, I-Gel, Laparoscopic Surgery, Mechanical VentilationReferences
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