European Journal of Molecular & Clinical Medicine

Abstract

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.