Assistant Professor, Dept. of Anaesthesiology, SCB Medical College, Cuttack, Odisha
*Corresponding Author: E-mail: drkitusraban@gmail.com
Online published on 4 February, 2016.
The aim of this study is to evaluate the effects of Dexmedetomidine and Fentanyl as intrathecal adjuvant to Bupivacaine on the onset and duration of sensory and motor block in spinal anaesthesiain orthopaedic lower limb and lower abdominal surgeries.
Ninety patients of ASA status I and II posted for lower limb and lower abdominal surgery were randomly divided into three groups. Group D was administered Hyperbaric Bupivacaine 15mg + Dexmedetomidine 5μg in 0.5 ml normal saline, group F was administered Hyperbaric Bupivacaine 15mg + Fentanyl 25 μg in 0.5 ml normal saline and group C were administered Hyperbaric Bupivacaine 15mg plus in 0.5 ml normal saline. Duration and quality of sensory and motor block were assessed.
Sensory and motor block in group D patients were longer than group F and C patients.
Intrathecaldexmedetomidine when added tobupivacaine heavy (0.5%)provide better and prolonged analgesia in comparison to fentanyl.
Fentanyl, Orthopaedic, Bupivacaine, Intrathecal, Dexmedetomidine