An Observational Study between Intrathecal Fentanyl and Butorphanol with Low Dose Bupivacaine to Facilitate Early Ambulation in Perineal Surgeries

Authors

  • Malini Mehta
  • Soumya Jha
  • Pooja Shah

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15330

Keywords:

Ambulation, bupivacaine, butorphanol, fentanyl, spinal anaeathesia.

Abstract

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
complication.

Author Biographies

Malini Mehta

Professor, Department of Anaesthesiology, Dhiraj Hospital, Smt. B.K.
Shah Medical Institute and Research Centre, SumandeepVidyapeeth, An Institute Deemed to be University,
Vadodara, Gujarat, India

Soumya Jha

3rd Year Resident,  Department of Anaesthesiology, Dhiraj Hospital, Smt. B.K.
Shah Medical Institute and Research Centre, SumandeepVidyapeeth, An Institute Deemed to be University,
Vadodara, Gujarat, India

Pooja Shah

Assistant Professor, Department of Anaesthesiology, Dhiraj Hospital, Smt. B.K.
Shah Medical Institute and Research Centre, SumandeepVidyapeeth, An Institute Deemed to be University,
Vadodara, Gujarat, India

Published

2021-05-17

How to Cite

Malini Mehta, Soumya Jha, & Pooja Shah. (2021). An Observational Study between Intrathecal Fentanyl and Butorphanol with Low Dose Bupivacaine to Facilitate Early Ambulation in Perineal Surgeries. Indian Journal of Forensic Medicine & Toxicology, 15(3), 341-346. https://doi.org/10.37506/ijfmt.v15i3.15330

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