The Effect of Intrathecal Bupivacaine Plus Dextrose 5% and Fentanyl Compared with Bupivacaine Alone on the Onset and Duration of Analgesia in Patients Undergoing Lower-Limb Orthopedic Surgery.
Journal
Advances in orthopedics
ISSN: 2090-3464
Titre abrégé: Adv Orthop
Pays: Egypt
ID NLM: 101565129
Informations de publication
Date de publication:
2023
2023
Historique:
received:
27
08
2022
revised:
05
11
2022
accepted:
16
11
2022
entrez:
24
2
2023
pubmed:
25
2
2023
medline:
25
2
2023
Statut:
epublish
Résumé
This study aimed to compare the effect of intrathecal bupivacaine plus dextrose 5% and fentanyl with bupivacaine alone on the onset and duration of analgesia in patients undergoing lower-limb orthopedic surgery. A total of 40 patients eligible for lower-limb surgery were divided into two groups by simple randomization: the control group which received only bupivacaine and the intervention group which received bupivacaine plus dextrose 5% and fentanyl. Anesthesia was induced by the spinal method. The visual analog scale (VAS) was used to assess the patients' pain; hemodynamic status (systolic and diastolic blood pressure and the heart rate) and oxygen saturation were also monitored. There was a significant difference between groups in the type of lower-limb movement at the L1 anesthesia level, the sensory block level at time zero after surgery, the type of backward movement at time zero after surgery, and the analgesic dose received ( The mean duration of anesthesia and analgesia was significantly longer in patients receiving bupivacaine plus fentanyl than in those receiving bupivacaine alone. However, concerning hemodynamic parameters, it cannot be concluded that the bupivacaine plus fentanyl receiving group was generally superior to the bupivacaine receiving group.
Identifiants
pubmed: 36824661
doi: 10.1155/2023/2496557
pmc: PMC9943617
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2496557Informations de copyright
Copyright © 2023 Amir Sabertanha et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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