Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:275
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2018  |  Volume : 32  |  Issue : 2  |  Page : 91-95

Comparison of intrathecal morphine and fentanyl in addition to ropivacaine for perioperative analgesia in lower segment caesarean section


Department of Anaesthesiology, Sawai Man Singh (SMS) Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Rama Chatterji
31, Sangram Colony, C-Scheme, Jaipur, Rajasthan 302001
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_14_18

Rights and Permissions

Aim: To compare the analgesic efficacy of intrathecal morphine and fentanyl as an adjuvant to isobaric ropivacaine in patients undergoing lower segment caesarean section under spinal anesthesia. Materials and Methods: A total of 120 parturients aged between 20 and 35 years of age, belonging to American Society of Anaesthesiologist (ASA) physical status I and II, were randomized into two groups: Group M received 15 mg of 0.75% isobaric ropivacaine (2 mL) and 100 μg of morphine (1 mL) intrathecally; and Group F received 15 mg of 0.75% isobaric ropivacaine (2 mL) and 25 μg of fentanyl (0.5 mL) and 0.5 mL of normal saline intrathecally. The primary outcome was the duration of postoperative analgesia. Block characteristics, hemodynamic variables, demand for rescue analgesia, and adverse effects were also assessed. Results: The demographic profiles and block characteristics were comparable in all groups. The mean duration of analgesia in Group M and Group F was 996.03 ± 25.3 and 203.88 ± 25.20 min, respectively; the difference between the groups was highly significant (P < 0.0001). Lesser visual analog scale pain scores were observed in Group M after the fourth postoperative hour and continued till 24 h (P < 0.05 at time interval of 4, 6, 8, 12, and 24 h). Conclusion: The addition of intrathecal morphine to isobaric ropivacaine resulted in a longer duration of postoperative analgesia as compared to intrathecal fentanyl in parturients undergoing caesarean section under spinal anesthesia.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed317    
    Printed3    
    Emailed0    
    PDF Downloaded46    
    Comments [Add]    

Recommend this journal