| Summary: | Synergistic effect between the local anesthetic drug with the addition of opioid in spinal anesthesia has been
known. In this Study, addition the fentanyl on the minimum dose bupivacain may increase the duration of
sensoric block and lead to rapid recovery of motoric block.
Design of the study was randomized controlled trial. Subject of the study were patient who underwent
elective TUR at Gedung Bedah Sentral Terpadu RS Dr Sardjito Yogyakarta. A total 70 patients who fulfi lled
the inclution criteria enroled at the study, were diveded into two groups each consisting of 35 patient. In
group A spinal anesthesia performed with bupivacain 10 mg and group B with bupivacain 5 mg added with
fentanyl 25μg. The onset and duration of spinal nerve blokc were observed. Sensoric blokc level were assesed
with pinprick method and level of motoric blokcade with Bromage score.
Duration of sensoric blok in group A was 114,43±18,73 minutes and group B was 97,71±15,11 minutes.
This result indicated that there was signifi cant difference between the two groups (p<0,05). The duration
motoric blokc in group A was 142,29±13,08 minutes whereas group B was 78,86±16,18 minutes. This result
indicated that there was signifi cant difference between two groups (p<0,05) with faster motor recovery in
group B.
Bupivacain 5 mg added with fentanyl 25μg had shorter duration of sensoric and motoric blokc than
bupivacain 10 mg (p<0,05).
|
|---|