Volume : 6, Issue : 12, December - 2017

PROSPECTIVE RANDOMISED STUDY ON POSTOPERATIVE ANALGESIA FOR CAESAREAN SECTION WITH INTRATHECAL BUPRENORPHINE

Dr. Balasubramanian, Dr. K. Rajachidambaram

Abstract :

AIM: To  compare  the  effectiveness  of  intrathecal 0.5%Heavy bupivacaine and Buprenorphine 60µ g w ith 0.5%Heavy bupivacaine for  postoperative analgesia in elective caesarean section. <div class="WordSection1">  OBJECTIVE: : To evaluate the efficacy , duration of post operative pain relief and to know the quality of analgesia provided by intrathecal opioids added to local anaesthetic agents.<o:p></o:p>   METHODS: The study w as undertaken in 60 patients of ASA I and II posted for elective cesarean section for post operative pain relief.<o:p></o:p>     <o:p> </o:p> GroupA  –  30  patients  –  received 1.7ml of  hyperbaric  0.5%  bupivacaine w ith buprenorphine 0.2ml(60µ g).<o:p></o:p> GroupB – 30 patients – received 1.7ml of hyperbaric 0.5%bupivacaine w ith 0.2ml 0f 0.9% normal saline.<o:p></o:p>    PLACE OF STUDY: CHENNAI MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER.<o:p></o:p>  RESULTS: -     Onset of sensory analgesia is significantly increased(1-31/2min) in patients receiving buprenorphine than control group.<o:p></o:p> -   Onset of motor blockade also significantly increased in study group 1-5min.<o:p></o:p>   <o:p> </o:p> -   Postoperative   analgesia   w as   upto   13-14hours   in   groupA(study)w ith<o:p></o:p>   <o:p> </o:p> SD.96.33min than control group B 21/2 – 41/2 hours.<o:p></o:p>   <o:p> </o:p> -   There w as no statistically significant changes in pulse rate, respiratory rate, blood pressure , oxygen saturation and neonatal apgar score.<o:p></o:p> </div> < clear="all" style="page-eak-before:always;
mso-eak-type:section-eak" />   -   There w as no respiratory depression in study group and few patients had a sedation score >3 w hich is statistically significant. There w as no statistically significant complications in both groups.<o:p></o:p>   CONCLUSION: Anaesthesia w as superior w hen buprenorphine is mixed w ith bupivacaine (0.5%) as compared to bupivacaine alone. So this  combination of  drugs  can be used for postoperative analgesia in elective cesarian section.<o:p></o:p>

Keywords :

: Post op pain relief Intrathecal opiods Buprenorphine

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

Dr.Balasubramanian, Dr.K.Rajachidambaram, PROSPECTIVE RANDOMISED STUDY ON POSTOPERATIVE ANALGESIA FOR CAESAREAN SECTION WITH INTRATHECAL BUPRENORPHINE, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-12, DECEMBER-2017