Comparative Study of Prilocaine-dexmedetomidine Versus Bupivacaine-dexmedetomidine in Spinal Anaesthesia for Inguinal Hernia Repair Operation | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2023, Issue 1, January 2023 | ||||
| DOI: 10.58675/2682-339X.1866 | ||||
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| Authors | ||||
| Fetouh Ahmed Fetouh Amr; Abdelazim Abdulhalim Taha Hegazy; Othman Saadeldien Yahia Mousa | ||||
| Anesthesia, ICU and Pain Management Department, Faculty of medicine, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background; fast track surgery necessitates the use of short-acting anaesthetics with minimum adverse effects. The purpose of this study is to assess the onset, offset time, and duration of motor and sensory block after spinal anaesthesia with hyperbaric prilocaine 2% or bupivacaine 0.5% added to dexmedetomidine during elective inguinal hernia repair surgery. Methods; Participants were randomly allocated using a computer-generated randomisation sequence. The study was carried out on 60 patients and were randomly allocated into one of two groups: Group A: 30 patients received 20 mg 0.5% bupivacaine plus 2.5 μg dexmedetomidine with total volume 4.5 cm. Group B: 30 patients received 80 mg 0.2% prilocaine plus 2.5 μg dexmedetomidine with total volume 4.5 cm. Results; This study revealed statistically significant higher values in Bupivacaine-Dexmedetomidine group compared to Prilocaine-Dexmedetomidine group according to their sensory block regarding Onset (min), Maximum sensory (min), regression of sensory block to S3 (min) and regression of sensory block to L1 (min), with p-value (p | ||||
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