Korean J Anesthesiol.  2009 Mar;56(3):280-283. 10.4097/kjae.2009.56.3.280.

The effects of intrathecal fentanyl for spinal anesthesia in lower extremity surgery

• Lee SJ
• Kim SH
• Jung JD
• Yoo BS
• Lim KJ
• So GY
• An TH
• Lee YJ

• KMID: 2238123
• DOI: http://doi.org/10.4097/kjae.2009.56.3.280

Abstract

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 microgram 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 microg 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 microgram with bupivacaine 5 mg on spinal blockade provide reliable anesthesia for lower extremity surgery.

Keyword

Bupivacaine; Intrathecal fentanyl; Spinal anesthesia

MeSH Terms

Analgesics, Opioid
Anesthesia
Anesthesia, Spinal
Anesthetics, Local
Bupivacaine
Fentanyl
Humans
Lower Extremity
Analgesics, Opioid
Anesthetics, Local
Bupivacaine
Fentanyl