EFFECT OF SPINAL ANAESTHESIA WITH THE ASSOCIATION OF BUPIVACAINE WITH SUFENTANIL AND LOW-DOSE MORPHINE FOR CESAREAN SECTION AT CAN THO OBSTETRICS GYNECOLOGY HOSPITAL

Thoại Nguyễn Huyền, Ngân Huỳnh Thanh, Thái Ngô Duy

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Abstract

Background: Postoperative pai is the primary concern for pregnant undergoing a cesarean section. After a cesarean section, effective pain management allows for early recovery, reduces respiratory complications and the risk of thrombosis, and helps prevent postpartum depression and chronic pain. Objective: Evaluation of the Effectiveness of Anesthesia and Postoperative Pain Relief of Spinal Anesthesia for Cesarean Section Using Bupivacaine 0.5% in Combination with Sufentanil and Low-Dose Morphine. Patients and methods: Cross-sectional descriptive study. 311 pregnant undergoing spinal anesthesia  for a cesarean section Using Bupivacaine 0.5% 8mg in Combination with Sufentanil 25 mcg and Morphine 50 mcg, Can Tho Obstetrics Gynecology Hospital. Evaluate the onset time, intraoperative anesthetic effectivenes, duration of postoperative pain relief, and the amount of analgesic medication required afterward. Results: The intraoperative pain relief effectiveness was 100%. The average onset time was 3,5 ± 1,12 minutes, with the fastest being 2 minutes and the slowest 9 minutes. The recovery time of motor block was 116,88 ± 11,68 minutes. The duration of postoperative pain relief within 24 hours was 18,74 ± 3,17 hours, with prolonged pain relief lasting more than 24 hours in 50,48% of cases. The mean dose of Acetaminophen used for postoperative pain in the study was 0,63 grams, a single dose of Voltaren was 104,55 mg, and no Kevindol or morphine was required within 24 hours after surgery. Conclusion: Spinal anesthesia using Bupivacaine 0.5% 8mg in Combination with Sufentanil 25 mcg and Morphine 50 mcg for a cesarean section ensures safety, does not require large doses of anesthetics, intraoperative anesthetic effectivenes and prolongs postoperative pain relief with effective pain control within 24 hours after surgery.

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References

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