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KMID : 0356920090560030280
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Korean Journal of Anesthesiology
2009 Volume.56 No. 3 p.280 ~ p.283
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The effects of intrathecal fentanyl for spinal anesthesia in lower extremity surgery
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Lee Sang-Jin
Jung Jong-Dal
Lim Kyung-Joon
Yu Byung-Sik
So Keum-Young
Kim Sang-Hun
An Tae-Hun
Lee Yeo-Jin
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Abstract
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Background: Intrathecal opioids in combination with bupivacaine has been shown to provide adequate sensory blockade and early recovery from spinal anesthesia. This study was investigated the added effects of intrathecal fentanyl 10 ?g to bupivacaine for spinal anesthesia.
Methods:Sixty patients undergoing lower extremity surgery were into three groups. Group I received bupivacaine 10 mg (0.5%), gruop II received bupivacaine 5 mg with normal saline 1 ml, and group III received bupivacaine 5 mg with fentanyl 10 ?g and normal saline 0.8 ml.
Results: There was no significant difference between group I and group III in the peak level and duration of sensory block. But the intensity of motor blockade was decreased in group III compared with group I and side effects of spinal anesthesia with local anesthetics was decreased in group III compared with group I. In Group II, 7 patients were complained the pain during surgery.
Conclusions: Intrathecal fentanyl 10 ?g with bupivacaine 5 mg on spinal blockade provide reliable anesthesia for lower extremity surgery.
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KEYWORD
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Bupivacaine, Intrathecal fentanyl, Spinal anesthesia.
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