COMPARISON OF 0.5% BUPIVACAINE WITH NALBUPHINE AND 0.5% BUPIVACAINE WITH NORMAL SALINE FOR POST-OPERATIVE EPIDURAL ANALGESIA IN LOWER ABDOMINAL SURGERY

Dr. Gayatri Tadwalkar; Dr Sudarshan Chinchole

Volume : VIII, Issue : I, January - 2019

COMPARISON OF 0.5% BUPIVACAINE WITH NALBUPHINE AND 0.5% BUPIVACAINE WITH NORMAL SALINE FOR POST-OPERATIVE EPIDURAL ANALGESIA IN LOWER ABDOMINAL SURGERY

Dr. Gayatri Tadwalkar, Dr Sudarshan Chinchole

Abstract :

Aim: This study was undertaken to compare the efficacy of 0.5 % Bupivacaine with Nalbuphine and 0.5% Bupivacaine with normal saline by epidural route for providing analgesia in patients undergoing lower abdominal surgeries. Methods: 60 adult patients of ASA grade I and II of both sexes, aged between 18-50 years posted for elective lower abdominal surgeries were selected for the study using 0.5% Bupivacaine 19ml with0.2 mg/kg of Nalbuphine (made to 1ml) in study group epidurally with control group 0.5% Bupivacaine 19ml with 1ml normal saline. Results: Epidural Bupivacaine with Nalbuphine produces early onset of sensory blockage significantly at 07.27�1.11 minutes(control group 13.77�1.07 minutes),and prolongs the duration of postoperative analgesia significantly upto 398.33�21.18 minutes (control group 187�10.47 minutes). Conclusion: In conclusion epidural 0.5% Bupivacaine with Nalbuphine 0.2mg/kg produces early onset of analgesia and prolonged duration of analgesia compared with 0.5% Bupivacaine with Normal saline