Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 23

October - December 2007 (Part-I)

Number  5


 

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The effect of small dose bupivacaine-fentanyl in
spinal anesthesia on hemodynamic nausea
and vomiting in cesarean section

M. Seyedhejazi1, E. Madarek2

ABSTRACT

Objective: To compare the hemodynamic, nausea and vomiting with small dose bupivacaine-fentanyl spinal anesthetic versus a conventional dose of spinal bupivacaine in parturients undergoing cesarean section.

Methodology: Forty patients aged 17-35 years old which underwent cesarean section were randomized into two groups. Group-A received spinal anesthesia with 8mg of bupivacaine and 10µg fentanyl, group B received 12mg bupivacaine.

Results: The mean dose of ephedrine needed was 4mg in group A and 11.75mg in group B (P=0.006). The mean ratio of lowest systolic pressure to baseline systolic pressure was 0.75 for group A and 0.65 for group B (P=0.04). Nausea and vomiting was observed in 10% of group A versus 20% in group B.

Conclusion: Small dose of bupivacaine and Fentanyl provides good spinal anesthesia for cesarean section with less hypotension, nausea and vomiting.

KEY WORDS: Spinal anesthesia, Fentanyl, Cesarean section, Hypotension, Nausea and Vomiting, Bupivacai.

Pak J Med Sci    October - December 2007 (Part-I)    Vol. 23 No. 5    747-750


1. Dr. Mahin Seyedhejazi,
Department of Anesthesiology,
2. Dr. Elahe Madarek,
Department of Obstetric & Gynecology,
1-2: School of Medicine,
Tabriz University of Medical Sciences,
Tabriz, Iran.

Correspondence

Dr. Mahin Seyedhejazi,
E-mail: Seidhejazie@yahoo.com

* Received for Publication: January 22, 2007
* Accepted: August 12, 2007



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