Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Current Issue

Year 2020

Volume: 7 , Issue: 3

Article Access statistics

Viewed: 486

Emailed: 0

PDF Downloaded: 166

Indian Journal of Clinical Anaesthesia


Comparative study between fractionated and single bolus dose of local anaesthetic in elective lower segment caeserean section


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Monika Gandhi, Kaushal Kishore Kabir*, K K. Arora, Karuna Tiwari

Volume : 6, Issue : 3, Year : 2019

Article Page : 386-390


Suggest article by email

Abstract

Context: To evaluate whether Fractionated dose is an alternative to single bolus dose in spinal anaesthesia in terms of haemodynamic stability, total analgesic duration and quality of sensory and motor block.
Aims: we aim to compare between fractionated and single bolus dose of local anaesthetic in subarachnoid block in elective LSCS.
Settings and Design: This prospective comparative study was conducted at a tertiary care hospital in central India.
Materials and Methods: 200 healthy female patients were randomly divided into groups (100 in each) group F (fractionated group) and group B (single bolus group). Subarachnoid block was given in sitting position in both the groups with 0.5% hyperbaric bupivacaine according to the height of the patient (0.07mg/cm) height. Group B was given single bolus dose over 10 seconds. Group F received 2/3rd of the dose initially followed by 1/3rd dose after 90 sec, the rate was 0.2ml/sec in both the groups. In group F, syringe was kept attached to the spinal needle after 2/3rd dose for 90 sec, after which the remaining 1/3rd dose was given. Data assessed was onset, level and duration of sensory block. Onset of sensory block assessed by pin prick sensation. Onset, duration ®ression of motor block was also assessed. Duration of analgesia and the number of hypertensive episodes was also noted.

Statistical Analysis used: Collected data was analysed using Microsoft excel and Statistical Package for Social Sciences (SPSS ver. 21).
Results: Significant statistical difference was found between the two groups in terms of haemodynamic stability, characteristic of block, time of first rescue analgesia and total duration of analgesia.
Conclusions: Fractionated group was found to be more haemodynamically stable with good quality sensory and motor block.

Keywords: Hypotension, Motor blockade, Single bolus dose, Fractionated dose.

Doi : 10.18231/j.ijca.2019.074

How to cite : Gandhi M, Kabir K K, Arora K K, Tiwari K, Comparative study between fractionated and single bolus dose of local anaesthetic in elective lower segment caeserean section. Indian J Clin Anaesth 2019;6(3):386-390

Copyright © 2019 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)