Comparison of fractionated versus bolus dose of Bupivacaine in spinal anaesthesia for patients with PIH undergoing elective caesarean section.

Dr Bina B Patel; Dr Pratik D Patel; Dr Mayur V Koyani; Dr Divyang V. Shah; Dr Pragna N. Vachharajani

Volume : VIII, Issue : II, February - 2018

Comparison of fractionated versus bolus dose of Bupivacaine in spinal anaesthesia for patients with PIH undergoing elective caesarean section.

Dr Bina B Patel, Dr Pratik D Patel, Dr Mayur V Koyani, Dr Divyang V. Shah, Dr Pragna N. Vachharajani

Abstract :

Introduction: In this study we compared the effects of fractionated versus bolus dose of local anaesthetics in spinal anaesthesia for hemodynamic stability, characteristic of sensory and motor block and duration of analgesia in preeclamptic parturients.

Methods: 60 patients were divided into two groups (30 in each). Group B patients received bolus dose of local anaesthetics, while group F patients received fractionated dose of local anaesthetics. Characteristic of sensory and motor block, duration of analgesia and hemodynamic stability were compared.

Result: All the patients were haemodynamically stable in Group F as compared to Group B. Duration of sensory and motor block and duration of analgesia were longer in Group F as compared to Group B.

Conclusion: Fractionated dose of spinal anaesthesia provides dense block, greater haemodynamic stability, and longer duration of analgesia as compared to bolus dose.