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Comparing anaesthetic effects of intrathecal 2- Chloroprocaine with or without fentanyl in ambulatory surgeries- A prospective and randomized control study

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Original Article

Author Details : Anupama Nagar*, Ravi Khandelwal, Pradeep Kumar Goyal, Shailendra Pareek, Dinesh Kumar Bharti

Volume : 7, Issue : 4, Year : 2020

Article Page : 619-624

https://doi.org/10.18231/j.ijca.2020.112

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Abstract

Background: 1% 2-Chloroprocaine could have been an ideal local anaesthetic for ambulatory procedures but it has been neglected in past years and even after re introduction with its preservative and antioxidant free form.
Aim: To compare the anaesthetic effect of intrathecal 2-Chloroprocaine with or without fentanyl in patients undergoing short duration lower abdominal and lower limb surgeries regarding hemodynamic parameters, mean duration of block, time to ambulation and side effects.
Setting: Anesthesia Department at Narayana Multispeciality Hospital, Jaipur.
Design: Randomised, Comparative, Single Centre Study
Materials and Methods: A total of 120 patients,18-70 years, weight>50 kg and ASA grade I- II underwent elective lower abdominal and lower limb surgeries with expected duration <60> Statistical Analysis: Chi-Square and Unpaired Student T- Test (p<0> Results: Spinal anesthesia was successful for all patients. Onset time of sensory and motor block, time to achieve peak block height and complete motor block was statistically insignificant (p<0> Conclusion: 2-Chloroprocaine spinal anesthesia provides rapid onset, giving it a promising profile for ambulatory surgery. Addition of fentanyl lengthens regression to S2 and with minimal increase of motor block duration.

Keywords: Ambulatory surgery, 2-Chloroprocaine, Fentanyl, Spinal anaesthesia.

How to cite : Nagar A , Khandelwal R, Goyal P K , Pareek S, Bharti D K , Comparing anaesthetic effects of intrathecal 2- Chloroprocaine with or without fentanyl in ambulatory surgeries- A prospective and randomized control study. Indian J Clin Anaesth 2020;7(4):619-624

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