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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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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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