ENHANCING EPIDURAL ANESTHESIA: DEXMEDETOMIDINE VS. FENTANYL WITH BUPIVACAINE IN LOWER LIMB SURGERIES

APARAJITA PAUL

doi:10.55640/ijmsdh-09-11-01

Open Access

ENHANCING EPIDURAL ANESTHESIA: DEXMEDETOMIDINE VS. FENTANYL WITH BUPIVACAINE IN LOWER LIMB SURGERIES

Vol. 9 No. 11 (2023): Volume 09, Issue 11 | Pages: 7-12 | https://doi.org/10.55640/ijmsdh-09-11-01

Authors

APARAJITA PAUL
DEPARTMENT OF ANAESTHESIA, DR. D.Y. PATIL MEDICAL COLLEGE, PIMPRI, PUNE, MAHARASHTRA, 2CONSULTANT ANAESTHESIOLOGIST, COOCH BEHAR, WEST BENGAL, INDIA

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Published Date: 2023-11-07
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APARAJITA PAUL. (2023). ENHANCING EPIDURAL ANESTHESIA: DEXMEDETOMIDINE VS. FENTANYL WITH BUPIVACAINE IN LOWER LIMB SURGERIES. International Journal of Medical Science and Dental Health, 9(11), 7-12. https://doi.org/10.55640/ijmsdh-09-11-01

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Abstract

This comparative study investigates the efficacy of two commonly used adjuvants, Dexmedetomidine and Fentanyl, when combined with Bupivacaine for epidural anesthesia in lower limb surgeries. The research aims to assess their impact on pain control, intraoperative hemodynamic stability, and postoperative outcomes. A randomized controlled trial design will be employed, with patients undergoing lower limb surgeries divided into two groups: one receiving epidural Bupivacaine with Dexmedetomidine and the other with Fentanyl. Parameters such as pain scores, intraoperative variables, and postoperative recovery will be analyzed to determine the advantages of each adjuvant. The findings of this study will provide valuable insights for anesthesiologists and clinicians in optimizing epidural anesthesia for lower limb surgical procedures.

Keywords:

Epidural Anesthesia, Dexmedetomidine, Fentanyl, Bupivacaine, Lower Limb Surgeries, Pain Control, Intraoperative Hemodynamics, Postoperative Outcomes

References

Schultz AM, Werba A, Ulbing S, Gollmann G, Lehofer F. Peri‑operative thoracic epidural analgesia for thoracotomy. Eur J Anaesthesiol 1997;14:600‑3.

Karnawat R, Chhabra S, Mohammed S, Paliwal B. Comparison of effect of epidural bupivacaine, epidural bupivacaine hydrochloride plus fentanyl and epidural bupivacaine hydrochloride plus clonidine on postoperative analgesia after hip surgery. J Anesth Clin Res 2013;4:1‑6.

Kehlet H. Acute pain control and accelerated postoperative surgical recovery. Surg Clin North Am 1999;79:431‑43.

Bajwa SJ, Arora V, Kaur J, Singh A, Parmar SS. Comparative evaluation of dexmedetomidine and fentanyl for epidural analgesia in lower limb orthopedic surgeries. Saudi J Anaesth 2011;5:365‑70.

Dyck JB, Maze M, Haack C, Vuorilehto L, Shafer SL. The pharmacokinetics and hemodynamic effects of intravenous and intramuscular dexmedetomidine hydrochloride in adult human volunteers. Anesthesiology 1993;78:813‑20.

Elhakim M, Abdelhamid D, Abdelfattach H, Magdy H, Elsayed A, Elshafei M, et al. Effect of epidural dexmedetomidine on intraoperative awareness and post‑operative pain after one‑lung ventilation. Acta Anaesthesiol Scand 2010;54:703‑9.

Esmaoglu A, Mizrak A, Akin A, Turk Y, Boyaci A. Addition of dexmedetomidine to lidocaine for intravenous regional anaesthesia. Eur J Anaesthesiol 2005;22:447‑51.

Soto RG, Fu ES. Acute pain management for patients undergoing thoracotomy. Ann Thorac Surg 2003;75:1349‑57.

Vieira AM, Schnaider TB, Brandão AC, Pereira FA, Costa ED, Fonseca CE, et al. Epidural clonidine or dexmedetomidine for post‑cholecystectomy analgesia and sedation. Rev Bras Anestesiol 2004;54:473‑8.

Arain SR, Ruehlow RM, Uhrich TD, Ebert TJ. The efficacy of dexmedetomidine versus morphine for postoperative analgesia after major inpatient surgery. Anesth Analg 2004;98:153‑8.

De Wolf AM, Fragen RJ, Avram MJ, Fitzgerald PC, Rahimi‑Danesh F. The pharmacokinetics of dexmedetomidine in volunteers with severe renal impairment. Anesth Analg 2001;93:1205‑9.

International Journal of Medical Science and Dental Health

eISSN : 2454-4191

Open Access

ENHANCING EPIDURAL ANESTHESIA: DEXMEDETOMIDINE VS. FENTANYL WITH BUPIVACAINE IN LOWER LIMB SURGERIES

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APARAJITA PAUL

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