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A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries

Jyoti Mala*, Rajesh Khanna**, Usha Suwalka***, Ekramul Haque****, Vivek Ranjan*****, Ranjit Kaur Arora******.

Abstract
Background: The use of spinal opiates along with intrathecal hyperbaric injection Bupivacaine has become increasingly popular as they potentiate the effect of local anaesthetic agent and improve the quality of analgesia and minimize the requirement of postoperative analgesia. Aim: The aim of this study was to evaluate and compare- Block characteristics, hemodynamics, post operative analgesic efficacy & occurrence of adverse effects. Methods: After approval from institutional ethic committee and informed written consent from patients, this prospective randomised double blind study was conducted on 120 healthy adult patients of ASA status 1 and 2, undergoing intrathecal anaesthesia for lower abdominal surgeries. The patients were randomly assigned into two groups including 60 patients in each group, using “closed envelope method”. Group A (n=60) received- Hyperbaric 0.5% Bupivacaine 3.5ml + 0.5 ml of Normal saline (total volume 4 ml). Group B (n=60) received -Hyperbaric 0.5% Bupivacaine 3.5ml + 0.5ml(0.5 mg) of Butorphanol (total volume 4 ml) was given. Results: Time of onset of sensory block at T8 & onset of motor block was rapid in group B as compared to group A. Mean duration of request for analgesia was 214.66 ±23.52 min in group A and 350.00 ± 29.05 in group B, which was highly significant statistically (p

Key words: Butorphanol, Hyperbaric 0.5% Bupivacaine, Spinal opiates.


 
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How to Cite this Article
Pubmed Style

Mala J, Khanna R, Suwalka U, Haque E, Ranjan V, Arora RK. A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. SEAJCRR. 2017; 6(1): 10-15.



Web Style

Mala J, Khanna R, Suwalka U, Haque E, Ranjan V, Arora RK. A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. www.scopemed.org/?mno=276867 [Access: October 22, 2017].



AMA (American Medical Association) Style

Mala J, Khanna R, Suwalka U, Haque E, Ranjan V, Arora RK. A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. SEAJCRR. 2017; 6(1): 10-15.



Vancouver/ICMJE Style

Mala J, Khanna R, Suwalka U, Haque E, Ranjan V, Arora RK. A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. SEAJCRR. (2017), [cited October 22, 2017]; 6(1): 10-15.



Harvard Style

Mala, J., Khanna, R., Suwalka, U., Haque, E., Ranjan, V. & Arora, . R. K. (2017) A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. SEAJCRR, 6 (1), 10-15.



Turabian Style

Mala, Jyoti, Rajesh Khanna, Usha Suwalka, Ekramul Haque, Vivek Ranjan, and Ranjit Kaur Arora. 2017. A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. The Southeast Asian Journal of Case Report and Review, 6 (1), 10-15.



Chicago Style

Mala, Jyoti, Rajesh Khanna, Usha Suwalka, Ekramul Haque, Vivek Ranjan, and Ranjit Kaur Arora. "A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries." The Southeast Asian Journal of Case Report and Review 6 (2017), 10-15.



MLA (The Modern Language Association) Style

Mala, Jyoti, Rajesh Khanna, Usha Suwalka, Ekramul Haque, Vivek Ranjan, and Ranjit Kaur Arora. "A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries." The Southeast Asian Journal of Case Report and Review 6.1 (2017), 10-15. Print.



APA (American Psychological Association) Style

Mala, J., Khanna, R., Suwalka, U., Haque, E., Ranjan, V. & Arora, . R. K. (2017) A Comparative Study Of Intrathecal Hyperbaric 0.5% Bupivacaine Alone Versus Hyperbaric 0.5% Bupivacaine With Butorphanol As An Adjuvant, In Lower Abdominal Surgeries. The Southeast Asian Journal of Case Report and Review, 6 (1), 10-15.



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The articles in The Southeast Asian Journal of Case Report and Review are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.