scholarly journals A Comparative Study of Hemodynamic Parameters Following Subarachnoid Block in Patients With and Without Hypertension

Cureus ◽  
2022 ◽  
Author(s):  
Amrita Panda ◽  
Manoja K Muni ◽  
Abhijeet Nanda
Keyword(s):  
Comparative Study ◽  
Hemodynamic Parameters ◽  
Subarachnoid Block

scholarly journals Comparison between Clinical Efficacies of Levobupivacaine Plain and Levobupivacaine with Fentanyl for Urological Surgeries under Subarachnoid Block

2017 ◽  
Vol 2 (2) ◽  
pp. 34-39
Author(s):  
Aarti Kulkarni ◽  
Paulomi Dey
Keyword(s):  
Side Effects ◽  
Motor Block ◽  
Randomized Study ◽  
Categorical Variables ◽  
Transurethral Resection Of Prostate ◽  
Sensory Level ◽  
Hemodynamic Parameters ◽  
Subarachnoid Block ◽  
Group I ◽  
Group Ii

ABSTRACT Background and aims Spinal anesthesia for urological operations has been frequently used, because symptoms of overhydration, transurethral resection of prostate (TURP) syndrome, and bladder perforation can be recognized. This prospective randomized study was conducted to compare the clinical efficacies of levobupivacaine with and without fentanyl in subarachnoid block with respect to onset and duration of sensory and motor block and duration of analgesia in urological surgeries. Materials and methods This randomized study was conducted in 100 patients of American Society of Anesthesiologists (ASA) physical status grades I and II, posted for urological surgeries. Patients were randomly allocated to two groups and were given the following drugs intrathecally as per group distribution: Group I: 2.5 mL of 0.5% isobaric levobupivacaine and group II: 2.2 mL of 0.5% isobaric levobupivacaine with 15 μg (0.3 mL) fentanyl citrate. Parameters monitored were onset and duration of sensory and motor block, hemodynamic parameters, postoperative analgesia, and side effects. Data were analyzed using Student's t-test for the continuous variables and chi-square test for categorical variables. Results The onset of sensory level of T10 was earlier in group II (4.74 ± 0.723 minutes) than in group I (5.7 ± 0.953 minutes). Duration of sensory block was longer in group I (292.2 ± 8.154 minutes) than in group II (260 ± 11.066 minutes). Motor block regressed earlier in group II (181.2 ± 7.73 minutes) than in group I. Hemodynamic parameters and side effects were similar in both the groups. Conclusion From our study, we concluded that plain levobupivacaine provided a longer duration of sensory and motor subarachnoid blockade. However, addition of fentanyl as a spinal adjuvant had a dose-sparing effect with earlier onset and early regression of motor block and no hemodynamic alterations. How to cite this article Kulkarni A, Dey P. Comparison between Clinical Efficacies of Levobupivacaine Plain and Levobupivacaine with Fentanyl for Urological Surgeries under Subarachnoid Block. Res Inno in Anesth 2017;2(2):34-39.

scholarly journals Shivering Control in Subarachnoid Block by Nalbuphine - A Comparative Study with Pethidine

2009 ◽  
Vol 20 (2) ◽  
pp. 66-69 ◽  
Author(s):  
Md Shahnewaz Chowdhury ◽  
Sajjad Ahmed ◽  
M Masudul Haque ◽  
Md Mozaffer Hossain
Keyword(s):  
Comparative Study ◽  
Prospective Study ◽  
Low Dose ◽  
Complete Disappearance ◽  
Acceptable Result ◽  
Subarachnoid Block ◽  
Legal Restriction ◽  
The Times ◽  
Monitoring Application ◽  
Better Than

Complication during anaesthesia is inevitable but judicious start, vigilant monitoring, application of pharmacology can prevent or lessen it. Shivering is one of the complications of Subarachnoid block (SAB). To prevent shivering during SAB many techniques had so long been applied. Among them during shivering giving low dose intravenous Pethidine is so far popular in our country. As the drug is not available all the times due to legal restriction & our socioeconomic circumstances, so we studied with another opioid, Nalbuphine and has got an acceptable result which is equipotent and some where better than that of Pethidine. This randomized prospective study conducted in 60 ASA I, II patients, was designed to explore the efficacy and potency of Nalbuphine in comparison to Pethidine for shivering under subaracnoid block. Patient received Nalbuphine 5mg LV or Pethidine25mg after appearance of shivering. Disappearance and recurrence of shivering, as well as haemodynamics were observed at scheduled intervals. Onset of disappearance of shivering was found at 1 minute in Nalbuphine group (N) (p<0.05) and at 3 minutes in Pethidine group (P) (p <0.05). The complete disappearance of shivering took 5 minutes in N group and 20 minutes in P group. Thus Nalbuphine and Pethidine were equally efficacious, but Nalbuphine was more potent with respect to control of shivering and its recurrence. It was concluded that I.V Nalbuphine is qualitatively superior to Pethidine for control shivering. Key words: Shivering in SAB, Nalbuphine, Pethedine   Journal of BSA, Vol. 20, No. 2, July 2007 p.66-69

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