Online ISSN: 2515-8260

Keywords : Neostigmine

Comparison of Effectiveness of 0.5% Bupivacaine with Neostigmine and 0.5% Bupivacaine Alone in Spinal Anaesthesia for Infra Umbilical Surgeries at a Tertiary Care Hospital

Akhilesh Mishra, Vineet Mishra, Vrushali Moharil, Abha Singh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5719-5723

Introduction: Pain is the fifth vital sign and a critical focus of the anaesthesiologist. Pain
is perhaps elaborated as an unpleasant sensory and emotional experience associated
with actual or potential tissue damage. Acute post operative pain is a complex
physiological reaction to tissue-injury, visceral distension or disease. It is manifested by
autonomic, psychological and behavioural responses that result in patient specific
unpleasant, unwanted sensory and subjective emotional experience. Postoperative pain
leads to delayed mobilization and its associated complications. With the development of
an expanding awareness of the epidemiology and pathophysiology of pain, more
attention is focused on the multimodal management of pain to improve the quality of
pain relief, augment functionality, leading to early mobilization, and reduce
physiological and emotional morbidity. Hence the present study was done at our
tertiary care centre to compare the effectiveness of intrathecal neostigmine (50 mcg)
combined with 0.5 % bupivacaine (Hyperbaric) with 0.5 % bupivacaine (Hyperbaric)
alone in spinal anaesthesia for infra umbilical surgeries.

Assessment of Post-Operative Pain after Spinal Anaesthesia with 0.5% Bupivacaine Combined with Neostigmine and 0.5% Bupivacaine alone in Infra Umbilical Surgeries

Vineet Mishra, Akhilesh Mishra, Abha Singh, Vrushali Moharil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5812-5817

Introduction: Stress factors in the operation room and block level mismatch with
surgical area may contribute to discomfort, anxiety and restlessness in patients under
spinal anaesthesia. Sedation is a valuable tool to provide general comfort for the patient.
It usually provides freedom from specific discomfort and can impose some amount of
amnesia for the block procedure and surgical procedure. Thus, legal use of sedation can
make these surgeries under spinal anaesthesia more comfortable for the patient, the
surgeon and the anaesthetist. Therefore, it can enhance the patient's acceptance of
regional anaesthetic technique. Spinal anaesthesia itself can impart some sedative
effects.Spinal subarachnoid block is one of the most versatile regional anaesthetic
techniques available these days. Regional anaesthesia usually offers several advantages
over general anaesthesia—blunts stress response to surgery, decreases intraoperative
blood loss, lowers the incidence of postoperative thromboembolic events and provides
analgesia in early postoperative period. Subarachnoid block provides profound
anaesthesia for patients undergoing infraumbilical surgery.