An Observational Study between Intrathecal Fentanyl and Butorphanol with Low Dose Bupivacaine to Facilitate Early Ambulation in Perineal Surgeries
Keywords:Ambulation, bupivacaine, butorphanol, fentanyl, spinal anaeathesia.
Background: Neuraxial opioids are widely used with local anaesthetics as they allow lower dose of local
anaesthetics while providing adequate anaesthesia and faster recovery from spinal anaesthesia because of
their sympathetic and motor nerve sparing activities. In the last few years the number of surgeries performed
on an ambulatory basis has increased worldwide because of many advantages like short hospital stay, less
chance of wound infection and less chances of deep vein thrombosis.
Methods: 64 patients of ASA- I or II of either gender who underwent perineal surgeries were divided into two
groups of 32 each:- Group BF patients received 1ml of 0.5% hyperbaric bupivacaine with 20µg fentanyl(0.4ml)
and Group BB patients received 1ml of 0.5% hyperbaric bupivacaine with 200µg butorphanol(0.2ml) and
normal saline(0.2ml).Patients were observed for onset of sensory and motor blockade, duration of sensory
and motor blockade, duration of analgesia and time to unassisted ambulation. There was no difference in
onset of sensory and motor blockade between the two groups(P> 0.005).Patients receiving butorphanol
had statistically significantly longer duration of sensory and motor blockade and duration of analgesia
than fentanyl(p-0.001).Patients receiving fentanyl were observed to ambulate unassisted significantly early
compared to butorphanol (p-0.001).
Conclusion: Patients receiving intrathecal fentanyl 20µg can ambulate earlier compared to patients receiving
butorphanol 200µg when used as an adjuvant with low dose hyperbaric bupivacaine 0.5% without any
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Re use and mixing of content policy- We follow Creative Commons Licence Policy. We follow CC BY. Please refer below for all details
This license lets others distribute, remix, adapt, and build upon our work, even commercially, as long as they credit us for the original creation.
- The journal allows readers to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose.
- The journal allows the author(s) to hold the copyright without restrictions.
- The journal allows the author(s) to retain publishing rights without restrictions