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ORIGINAL ARTICLE
Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 6-9

A prospective comparative study of intrathecal low-dose bupivacaine 5 mg (1 mL) plus fentanyl 25 μg (0.5 mL) with intrathecal low-dose bupivacaine 5 mg (1 mL) plus normal saline (0.5 ml) for perineal daycare surgery


1 Assistant Professor, Department of Anesthesiology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India
2 Assistant Professor, Department of Obstetric and Gynecology, Chennai Medical College Hospital & Research Centre, Trichy, Tamil Nadu, India
3 Senior Resident, Department of Anesthesiology, Chennai Medical College Hospital & Research Centre, Trichy, Tamil Nadu, India

Correspondence Address:
Vanathi Nachimuthu
Assistant Professor, Department of Obstetric and Gynecology, Chennai Medical College Hospital & Research Centre, Trichy, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0093

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Aim: To compare the efficacy of intrathecal low-dose bupivacaine 5 mg (1 mL) plus fentanyl 25 μg (0.5 mL) with intrathecal low-dose bupivacaine 5 mg (1 mL) plus normal saline (NS) (0.5 mL) for perineal daycare surgery. Materials and methods: Hundred patients in the age group 18 to 50 years of either sex with body weight of 40 to 100 kg and physical status American Society of Anesthesiologists (ASA) 1 and 2 undergoing daycare elective perineal surgery of duration less than 60 minutes under spinal anesthesia were randomly allocated into two groups with each 50 patients—group F, subarachnoid block with bupivacaine heavy 5 mg (1 mL) plus fentanyl 25 μg (0.5 mL) and group B, with bupivacaine heavy 5 mg (1 mL) with NS (0.5 mL). Subarachnoid block was performed in lateral position. Parameters including pulse rate, blood pressure, oxygen saturation with pulse oximeter, onset of anesthesia, block characteristics, and complications were noted and analyzed by independent author using Student's t-test. Results: The mean duration of analgesia was significantly high in group F compared with group B (p < 0.05) with no difference in anesthesia characteristic, hemodynamic variables, and complications. Conclusion: The intrathecal fentanyl with low-dose bupivacaine intensifies surgical anesthesia with extended postoperative analgesia without extending neurological deficit and complications. Clinical significance: T his method i s a very e ffective and cheap anesthesia modality in daycare perineal surgery.


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