Comparison between efficacy of intrathecal Tramadol-bupivacaine(h) and fentanyl- Bupivacaine(h) in lower abdominal surgeries – a One year hospital based randomized control Trial conducted at kles dr. Prabhakar kore Charitable hospital and research centre

Abstract

Background: Neuraxial block is a preferred alternative to general anaesthesia for lower abdomen and lower limb procedures due to various benefits. Various additives are employed intrathecally in modern practice to achieve appropriate post-operative analgesia and ideal operating conditions. When combined with local anaesthetics, neuraxial opioids are known to hasten the start of action, prolong the duration of the motor and sensory block, and enhance the quality of postoperative analgesia. Additionally, there are negative consequences when these opioids are used with local anaesthetics. In the current prospective randomised trial, two opioids—Fentanyl and Tramadol—were compared in lower abdominal procedures when they were combined with hyperbaric bupivacaine 0.5%.