Comparative Study of Epidural 0.125% Bupivacaine with Butorphanol and Epidural 0.125% Bupivacaine with Nalbuphine for Postoperative Analgesia in Abdominal Surgeries


Authors : Dr.R.SREELEKHA; Dr. T. SWATHI PRIYADARSHINI

Volume/Issue : Volume 8 - 2023, Issue 1 - January


Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3j7eTmU

DOI : https://doi.org/10.5281/zenodo.7568563


Abstract : Comparison of the safety and efficacy of nalbuphine 10 mg with 0.125% bupivacaine versusbutorphanol 2 mg with 0.125% bupivacaine by epidural route for providing postoperative analgesia in patients undergoing elective abdominal surgeries. Methodology: The patients were randomly allocated into two groupsGROUP BB: received 2 ml of butorphanolwith 2.5 ml of 0.5% bupivacaine, diluted in normal saline to 10 ml. Butorphanol 2 mg + 0.125% bupivacaine GROUP BN (control group): received 1 ml of nalbuphine with 2.5 ml of 0.5% bupivacaine, diluted in normal saline to 10 ml. Nalbuphine 10 mg + 0.125% bupivacaine. In the postoperative period, when the patients complained of pain, the intensity of pain was assessed using the VAS scaleThe pain intensity was assessed by VAS score at 0, 15, 30, 60 minutes, 2, 4, 6, 8, and 10 hours after epidural injection ,onset of analgesia, duration of analgesia, Systolic blood pressure, diastolic blood pressure, pulse rate, and respiratory rate were recorded at 0, 15, 30, 60 minutes, 2, 4, 6, 8, and 10 hours after epidural injection. SpO2 monitored continuously.

Keywords : Epidural, bupivacaine, butorphanol, nalbuphine, post operative analgesia.

Comparison of the safety and efficacy of nalbuphine 10 mg with 0.125% bupivacaine versusbutorphanol 2 mg with 0.125% bupivacaine by epidural route for providing postoperative analgesia in patients undergoing elective abdominal surgeries. Methodology: The patients were randomly allocated into two groupsGROUP BB: received 2 ml of butorphanolwith 2.5 ml of 0.5% bupivacaine, diluted in normal saline to 10 ml. Butorphanol 2 mg + 0.125% bupivacaine GROUP BN (control group): received 1 ml of nalbuphine with 2.5 ml of 0.5% bupivacaine, diluted in normal saline to 10 ml. Nalbuphine 10 mg + 0.125% bupivacaine. In the postoperative period, when the patients complained of pain, the intensity of pain was assessed using the VAS scaleThe pain intensity was assessed by VAS score at 0, 15, 30, 60 minutes, 2, 4, 6, 8, and 10 hours after epidural injection ,onset of analgesia, duration of analgesia, Systolic blood pressure, diastolic blood pressure, pulse rate, and respiratory rate were recorded at 0, 15, 30, 60 minutes, 2, 4, 6, 8, and 10 hours after epidural injection. SpO2 monitored continuously.

Keywords : Epidural, bupivacaine, butorphanol, nalbuphine, post operative analgesia.

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