scholarly journals A Comparative Study of Intrathecal Bupivacaine with Fentanyl versus Plain Bupivacaine in Elective Lower Segment Caesarean Section

Author(s):  
Dr. Hari Prasad Kasturi

Pregancy is a very stressful condition for every women. Most of them live in a fear of complications and the safety of the unborn baby. Many have lots of questions and confusions when it comes to surgery. Regional anaesthesia is the best choice for a elective lower segment caesarean section. Making sure that the pregnant women co-operates to perform a lumbar puncture to deliever the drugs is at most important to have a succesful spinal block. It is also very important to choose drugs which last for longer time and provide analgesia even after the surgery. The practice of adding additives to local anaesthetic agents is very come from decades. The best and the safest additive with very low complication is the one which doesn’t affect the degree of anaesthetic block and has very safe haemodynamic response. Fentanyl is a time tested drug and it is very safe as per the available litracure and can be safely given in pregnancy. In this comparative study we are going to compare the potentail of fentanyl and bupivacaine with bupivacaine alone when given intrathecally

Author(s):  
Nasira Tasnim ◽  
Madeeha Ghani ◽  
Suresh Kumar ◽  
Shumaila Naeem ◽  
Sobia Luqman

Abstract Achondroplasia is a common form of dwarfism occurring in one out of 25,000 of live births. These patients present many problems during pregnancy and at the time of the delivery. The anaesthetist may also face several difficulties for both general and regional anaesthesia. The aim of this case report is to discuss various obstetric and anaesthetic considerations in such patients and ways to manage the difficulties. A 29-year-old woman expecting her first child, with achondroplasia —height of just 3’2’’ (98 centimetres) — at 31 weeks of gestation, presented to our OPD for antenatal visit on May 15, 2018. Her successful elective lower segment caesarean section was performed on June 25, 2018 at 37 weeks in view of contracted pelvis under general anaesthesia. Continuous...  


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