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Category: Volume 07 Issue 01 January 2019
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Title: Study of Effectiveness of Premptive Analgesia and Duration of Analgesia Provided by Central Neuro Axial Blockade in LSCS Patients

Authors: Dr Rajeev. D.S, Dr C. Jayakumar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.63

Abstract

 

Background: LSAB (Lumbar subarachnoid blockade) is being used as a standard methodology for LSCS patients. Spinal Anesthesia is being associated with a profound advantage compared to general anaesthesia in obstetric patients. This anaesthetic method with definitive end points is administered before the pfannesfeil or vertical incision as the case may be. After the provision of the surgical anesthesia, the analgesic effect of LSAB is continued in to the postoperative period for some time. Thereby it  provides premptive analgesia, which can be continued  into the entire postoperative period, by  use of NSAIDS or opiods

Materials and Method: In this study 50 patients posted for lower segment caesareans section on elective or emergency basis are selected fitting into the study after assigning into the exclusion and inclusion criteria. After the administration of spinal Anesthesia for the patients, then level of blockade confirmed using the spirited cotton. After surgery is over, the time of administration of the rescue analgesia in ers in the form of morphine hydrochloride is noted. Thereby it is noted that the LSAB administered before the surgery serves as an analgesic too in the postoperative period. This means that the LSAB serves as a premptive analgesic.

Results: It was found that in post LSCS patients the analgesic effect of LSAB lasts for 70 minutes. There by we can extend the preemptive analgesia by the administration of various agents in the form of diclofenac  suppository or opioids or Ketanov or ilioinguinal or iliohypogastric blocks etc.   

Conclusion: By the administration of the analgesics, early mobilization of the mother increases maternal bonding with child, increased breast feeding and prevents hypoglycemic complications in the newborn.

Keywords: VAS –Visual analogue scale LSCS- Lower segment caesarian section, LSAB-lumbar subarachnoid blockade.

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Corresponding Author

Dr C. Jayakumar

Associate Professor, Department of Anesthesiology, Government Medical College, Trivandrum, India