Volume : 8, Issue : 3, March - 2019

COMPARISON OF THE CLINICAL EFFECTS OF INTRATHECAL FENTANYL AND INTRAVENOUS FENTANYL DURING SPINAL ANAESTHESIA WITH BUPIVACAINE

Dr Lulu Sherif, Dr Mala Jose

Abstract :

ABSTRACT This study was done to compare the clinical effects of intrathecal fentanyl versus the same dose of intravenous fentanyl for lower abdominal and orthopaedic surgeries, with respect to the onset, duration, and quality of bupivacaine induced spinal anaesthesia. The participants were randomly allocated into 3 groups of 30 each. Group IC (control) was the first group in whom 2.5 ml of 0.5 % bupivacaine plus 0.5 ml normal saline was given intrathecally and 0.5ml of NS was given IV. Group IT was the second group in whom 2.5 ml of 0.5% bupivacaine plus 0.5 ml of fentanyl (25 micrograms) was given intrathecally and 0.5 ml of NS was given IV. Group IV was the third group in whom 2.5 ml of 0.5% bupivacaine plus 0.5 ml normal saline was given intrathecally and 0.5ml of fentanyl (25 micrograms) was given IV. The results showed a statistically significant longer duration of motor blockade in the Group IT & Group IV when compared to that of Group IC. But the duration of motor blockade amongst Group IT and Group IV showed no statistical difference. Hence the study concluded with the inference that there is not much difference when fentanyl is administered intrathecally or intravenously as an adjuvant to Bupivacaine induced spinal anaesthesia.