Effect of Intrathecal Fentanyl on Haemodynamic Changes in Lower Segment Caesarean Section

Dr. Devant Goswami, Dr. M. Paul Wilson, Dr. J. Bennet Abraham, Dr. Usha Christopher, Dr. Buena. R, Dr. Blessy Rose Joy, Dr. Eleena John, Dr. Jenifer Job

Abstract: Background: To compare the effects of spinal anaesthesia with hyperbaric bupivacine with and without fentanyl on haemodynamics of patients undergoing Lower Segment Caesarean Section. Methods: 40 patients were divided into two groups of 20 each. Group B patients were given hyperbaric bupivacaine. Group F patients were given hyperbaric bupivacaine with fentanyl. Results: Patients in Group F had greater haemodynamic stability than the patients in Group B. Conclusion: There is low incidence of hypotension during LSCS when fentanyl is added to intrathecal hyperbaric bupivacaine.

Keywords: Intrathecal fentanyl, Spinal anaesthesia, LSCS, Haemodynamic changes