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Corresponding Author

Ahmed Fathi Mohammed

Document Type

Original Article

Abstract

Background: Spinal anesthesia is considered the first choice for cesarean section owing to its deep sensory block as well as fewer side effects on mother and fetus. Despite many benefits of this method, it has a short duration and cannot provide sufficient postoperative analgesia.

Objective: to compare the efficacy of dexmedetomidine versus fentanyl as adjuvant to pubivacaine spinal anesthesia in cesarean section.

Patients and Methods: The current study was conducted on a total of 90 females who were undergone cesarean section . They were further subdivided into three groups (n=30). Group B comprised 30 patients where bupivacaine alone was injected; Group BF in which patients were injected by fentanyl with bupivacaine and Group BD in which patients were injected with dexmedetomidine with bupivacaine.

Results: No significant differences were recorded among the three studied groups concerning sociodemographic features as well as anthropometric measurements. Time to reach T 10 and time to reach peak sensory block as well as time to reach peak motor block demonstrated insignificant differences among the three studied groups.

Conclusion: The use of dexmedtomidine as an adjuvant to bupivacaine in cesarean surgeries was demonstrated to be associated with better intra-operative and post-operative analgesia with minimal analgesic requirements without having significant side effects or hemodynamic alterations.

Keywords

Dexmedetomidine, Fentanyl, Bupivacaine, Cesarean Section.

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