A COMPARISON OF INTRATHECAL HYPERBARIC BUPIVACAINE AND HYPERBARIC BUPIVACAINE WITH FENTANYL IN LSCS FOR POST OPERATIVE ANALGESIA

Abstract

Introduction: Postoperative pain by virtue of its unique transient nature is more amenable to therapy. Spinal anaesthesia is preferred in LSCS. Intrathecal opioids to increase analgesic effect of bupivacaine during caesarean section and are used worldwide. The present study was conducted to elucidate the comparison between intrathecal bupivacaine and bupivacaine with fentanyl for postoperative analgesia. Materials and methods: 160 pregnant patients between 18 to 35 yrs of age were seleted .Group F received: Bupivacaine 0.5% with 10 microgram fentanyl and Group B received Bupivacaine 0.5 % alone. Results: Onset of sensory and motor block was comparable in both groups. Two segment regression and the duration of analgesia was signicantly prolonged in group F (360 ± 53.15 min) as compared with Group B (219.75 ± 39.29 min). There was no signicant statistical difference in the incidence of side effects in either group. Conclusion: It can be concluded that fentanyl (10 mcg) as an adjuvant to spinal bupivacaine in caesarean section reduces the dose of local anaesthetic agent and signicantly prolongs the postoperative analgesia with no signicant maternal and neonatal side effects.