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 undergoing 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 bupivacaine (0.5%) heavy 1.5cc + sufentanil 5μg(5). Local anesthetic effect, hemodynamics, post operative
analgesia, complications and fetal outcome are compared.Statistical signicance was brought out by Student's t – test.
Results: All the patients who received 1.5ml of hyperbaric bupivacaine with sufentanil were comfortable during the intra
operative period(12). About 52.5% of the patients who received bupivacaine alone had intraoperative discomfort signicantly.
Conclusion: It has been found out by this study that addition of 5μg of sufentanil to low dose (7.5mg) of 0.5% of bupivacaine
intrathecally in cesarean section provides improved quality of surgical anaesthesia and analgesia


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