International Journal of Medical Anesthesiology
2020, Vol. 3, Issue 1, Part E
A comparative study of intrathecal 2-chloroprocaine with fentanyl versus 2-chloroprocaine alone in patients undergoing infraumbilical surgeries
Author(s): Dr. Suryanarayana Dr. Krishna Sagar SR and Dr. Ramachandraiah R
Abstract: Background: Spinal anesthesia with 2-Chloroprocaine produces blocks with rapid onset, higher level of sensory blockade and early voiding and ambulation. The addition of fentanyl prolongs sensory blockade. The aim of this study is to evaluate efficacy of fentanyl adjunct to intrathecal 2-Chloroprocaine in terms blockade characteristics.
Methods: A prospective randomised controlled study conducted in 50 ASA I and II patients in the age group 18-60years, posted for elective infraumbilical surgeries. They randomised into 2 groups of 25 patients each. Group CF (n=25) received intrathecal 3.0 ml of 1% 2-CP with 20 mcg Fentanyl and Group CS (n=25) received intrathecal 3.0 ml of 1% 2-CP with 0.4ml Normal Saline. Hemodynamic parameters, onset and duration of sensory and motor blockade, time for highest sensory and motor blockade, time for rescue analgesic and time for ambulation were recorded.
Results: Demographic data were comparable between the 2 groups. Group CF showed faster onset and prolonged sensory and motor blocks compared to Group CS. No side effects were noted in both the groups.
Conclusion: Addition of Fentanyl to Intrathecal 2-chloroprocaine decreases the onset time for sensory and motor blockade, prolongs postoperative analgesia, prolongs sensory and motor block and prolongs ambulation. Hence it may be proposed for day care surgeries.
Pages: 302-305 | Views: 107 | Downloads: 52
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How to cite this article:
Dr. Suryanarayana Dr. Krishna Sagar SR and Dr. Ramachandraiah R. A comparative study of intrathecal 2-chloroprocaine with fentanyl versus 2-chloroprocaine alone in patients undergoing infraumbilical surgeries. International Journal of Medical Anesthesiology. 2020; 3(1): 302-305. DOI: 10.33545/26643766.2020.v3.i1e.105