Vol - 28, Issue - 03
About the Journal
[This article belongs to Volume - 28, Issue - 03]
International Medical Journal
Journal ID : IMJ-19-02-2021-763
Total View : 452

Abstract : To evaluate the efficacy of adjuvant Neostigmine with intrathecal Bupivacaine in postoperative pain management in vaginal surgeries. 60 subjects between the age of 18-60, undergoing vaginal surgeries under spinal anaesthesia, with stable haemodynamic parameters were included in the study. Prior consent was taken from the patients explaining them the objectives and procedure of the study in their native language. Patients were divided into two groups of 30 patients each. Group I - 12.5mg hyperbaric bupivacaine (2.5ml), Group II - 50 mcg of neostigmine with 12.5 mg hyperbaric bupivacaine (2.5ml). The difference in the onset of sensory, peak anaesthesia in Group I and Group II + the onset of motor anaesthesia, peak anaesthesia in Group I and Group II was non-significant between the two groups. The VAS score was measured at various time intervals postoperatively, the difference was significantly lesser at all the time intervals in Group II suggesting the analgesic action of neostigmine. As observed from our study it was evident that neostigmine reduces the need for rescue analgesia in patients undergoing vaginal surgeries.

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