A Comparative Study of the Effects of Intrathecal Tramadol and Intrathecal Fentanyl as Adjuvants with 0.5% Bupivacaine Heavy in Lower Limb Surgery.
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Date
2016-03
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Abstract
Background: The aim of this study is to compare the effects of tramadol and Fentanyl as intrathecal adjuvant to
hyperbaric Bupivacaine in lower limb surgeries under spinal anaesthesia. Methods: 100 patients of ASA status I and II
posted for lower limb surgery were randomly divided into two groups. Group T was administered Hyperbaric
Bupivacaine 15 mg + tramadol 25 mg, group F was administered Hyperbaric Bupivacaine 15 mg + Fentanyl 25 μg.
Hemodynamic parameters, duration and quality of sensory and motor block and any side effects were assessed.
Results: Intrathecal tramadol and intrathecal fentanyl acted synergistically to potentiate bupivacaine induced sensory
spinal block. Excellent surgical anaesthesia and an extended analgesia were observed in the post-operative period with
minimum side effects in both groups. Conclusion: Addition of either intrathecal tramadol or fentanyl to bupivacaine
produced comparable hemodynamic changes, post-operative analgesia and sensory blockade.
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Keywords
Intrathecal, tramadol, Fentanyl, bupivacaine
Citation
Routray Sidharth Sraban, Mohanty Deba Prasad, Mishra Debasis, Behera Debabrat. A Comparative Study of the Effects of Intrathecal Tramadol and Intrathecal Fentanyl as Adjuvants with 0.5% Bupivacaine Heavy in Lower Limb Surgery. Annals of International Medical and Dental Research. 2016 Mar-Apr; 2(2): 143-147.