A Comparative Study of Post-Operative Side Effects between Spinal Bupivacaine Plus Buprenorphine and Combined Femoral and Sciatic Nerve Block Used For Analgesia

Abstract

Background: The study aims to compare postoperative side effects produced by spinal bupivacaine plus buprenorphine with femoral and sciatic nerve blocks. Methods: Randomly patients were divided in to 2 groups by using computer generated randomization, 25 patients were taken in each group they are Group A (spinal bupivacaine plus buprenorphine) and Group B (Combined femoral and Sciatic Nerve Block). Postoperative side effects like nausea and vomiting, itching, drowsiness, sedation and prolonged sensory & motor block produced and hemodynamic variability was documented and compared between both groups (A and B). Results: The Nausea and vomiting, itching, drowsiness and sedation was high with Group A and prolonged sensory & motor block was high with Group B (p value < 0.01 highly significant). Hemodynamic variability was not significant between both groups. Conclusion: Nerve blocks (femoral & sciatic) compared to intrathecal buprenorphine are very useful, with fewer side effects for post-operative pain relief.