Volume : 7, Issue : 5, May - 2018

Low Dose Bupivacaine with Fentanyl Provides Excellent Perioperative Analgesia while Maintaining Haemodynamic Stability in Preeclamptic Parturients

Tripti Vatsalya, Jyotsna Kubre

Abstract :

<p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Preeclampsia is characterized by blood pressure of more than 140/90mmhg after 20 weeks of pregnancy in previously normotensive patients ,associated with protinuria. To conduct these cases in general anaesthesia is not very easy task and poses great risk of life for patients as well as fetus. Ability to run these cases in central neuraxial blockade with added adjuvant is of prime importance as it provides a conscious mother who is able to enjoy her birthing experience and initiation of east feeding can be set early in comparision to patients who had undergone general anaesthesia.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Fentanyl is very potent opioid agonist which is very commonly used as an adjuvant in spinal anaesthesia. In our study we have compared a low dose of bupivacaine (7.5mg) along with fentanyl(25&micro;g) with bupivacaine alone(10mg). We studied the effect of these drugs on hemodynamic profile, perioperative analgesia and sedation and found that fentanyl showed a favourable hemodynamic profile and good duration of analgesia when compared with bupivacaine alone group.<o:p></o:p></span></p>