Comparative Evaluation of Different Dose of Bupivacaine for Pain Control in Cesarean Section

Different Dose of Bupivacaine for Pain Control in Cesarean Section

  • Anirudh Prasad Mandal Senior resident, Department of Anesthesia, GMC, Bettiah
  • P.K. Gyani Assistant Professor & HOD, Department of Anesthesia, GMC, Bettiah
  • Sandeep Kumar Junior Resident, Department of Anesthesia, GMC, Bettiah
  • Rakesh Kumar Senior resident, Department of Anesthesia, GMC, Bettiah
Keywords: Spinal Anesthesia, Hyperbaric Bupivacaine, hypotension

Abstract

Background: Spinal  anesthesia  is  the  preferred  choice  of anesthesia  for  the  conduct  of  emergency  and elective cesarean  section. Hypotension  during  spinal anesthesia for caesarean section continues to be a major problem. Aim: The present study investigated the safety and efficacy of 0.25% hyperbaric bupivacaine on the incidence of visceral pain during cesarean section performed under subarachnoid anesthesia. Subjects and Methods: Sixty patients who were scheduled for elective cesarean section, allocated randomly to one of three groups, according to patient`s height. Group 1, 2 and 3 received 3.2-3.6 mL (8-9 mg), 3.6-4.0 mL (9-10 mg) and 4.0-4.4 mL (10-11 mg) of 0.25% hyperbaric bupivacaine, respectively. Results: There was no difference in the incidence of visceral pain between three groups (p>0.05), but the quality of intraoperative analgesia, as needs for general anesthesia was significantly lower in group 3 than groups 1 and 2 (p<0.05). Conclusion: In conclusion, hyperbaric 0.25% bupivacaine in the dose of 10-11 mg is safe and effective in obtaining better quality of block in cesarean section, in order of reducing the severity of visceral pain.

Published
2019-09-06
How to Cite
Prasad Mandal, A., Gyani, P., Kumar, S., & Kumar, R. (2019). Comparative Evaluation of Different Dose of Bupivacaine for Pain Control in Cesarean Section. Academia Anesthesiologica International, 4(2), 122-125. Retrieved from https://aijournals.com/index.php/aan/article/view/930