EVALUATION OF EFFICACY OF INTRATHECAL SUFENTANIL WITH LOW DOSE BUPIVACAINE IN LOWER SEGMENT CESAREAN SECTION

Dr. Muthu Vijayasankar; Dr. Sankaran Chockalingam

Volume : IX, Issue : I, January - 2020

EVALUATION OF EFFICACY OF INTRATHECAL SUFENTANIL WITH LOW DOSE BUPIVACAINE IN LOWER SEGMENT CESAREAN SECTION

Dr. Muthu Vijayasankar, Dr. Sankaran Chockalingam

Abstract :

Background: Spinal anesthesia for cesarean section is the preferred technique over general anesthesia due to various advantages. Bupivacaine is the common drug which is used in those surgeries. We want to evaluate the effectiveness of low dose Bupivacaine with Sufentanil and low dose Bupivacaine alone. Study design: It is a prospective randomised study conducted in 80 patients un-dergoing cesarean section. Patients are randomised into 2 groups. Group I: Inj bupivacaine (0.5%) heavy 1.5cc + 0.1cc of normal saline GROUP II: Inj bupiva-caine (0.5%) heavy 1.5cc + sufentanil 5μg(5). Local anesthetic effect, hemodynamics, post operative analgesia, complications and fetal outcome are compared.Statistical significance was ought out by Student�s t – test. Results: All the patients who received 1.5ml of hyperbaric bupivacaine with sufen-tanil were comfortable during the intra operative period(12). About 52.5% of the pa-tients who received bupivacaine alone had intraoperative discomfort significantly. Conclusion: It has been found out by this study that addition of 5μg of sufen-tanil to low dose (7.5mg) of 0.5% of bupivacaine intrathecally in cesarean section provides improved quality of surgical anaesthesia and analgesia