comparative study of intrathecal bupivacaine with fentanyl and medazolam for quality of anaesthesia and duration of post operative pain relieve in patient undergoing orthopaedic surgery.

Abstract

The use of adjuvant to spinal anaesthesia has gained popularity nowdays , improve the quality of anaesthesia and post operative pain relieve is mandatory for patient care and to reduce complication , in this retrospective randomized study taken among 120 patient divided into 3 groups a,b and c in the A group received bupivacaine 0.5 % heavy ( marcaine) , B group received 0.5 % bupivacaine 2.5 ml plus 25 microgram fentanyl, C GROUP received 0.5% bupivacaine plus 2.5 mg midazolam after preloading of fluid ( normal saline) and montoring of vital sign and postoperative pain , the result showed that intrathecal medazolam and fentanyl along with bupivacaine can be used safely used ,requirement of postoperative analgesia was greatly reduced with fentanyl and medazolam group than with bupivacaine alone also quality of anaesthesia and duration of anaesthesia also improved in b,c group than in A group.