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TITLE:

CONTRAST OF INTRATHECAL FENTANYL ALSO MIDAZOLAM FOR ANTICIPATION OF VOMITING-NAUSEA THROUGHOUT CESAREAN UNIT UNDERNEATH VERTEBRAL ANESTHESIA

AUTHORS:

Dr Tehmina Naz, Dr Syed Ali Husnain Shah, Dr Zarish Fatima Malik

ABSTRACT:

Aims and Objectives: Vomiting also nausea endure as “big little issue” in CS below SA. Occurrence of sickness-nausea through also directly afterwards operation in SA remains tall. This remains actually also spiritually upsetting to cases also worrying to physician also anesthesiologist. The motive of our current research remained to associate medical effectiveness of intrathecal fentanyl also midazolam for deterrence of sickness-nausea in cases experiencing CA underneath vertebral anesthesia. Methodology: The current prospection randomized dual blind research remained led between March 2017 to January 2018 at Jinnah Hospital, Lahore Pakistan in 99 females matured among 19-32 years arranged to experience elective CS underneath SA. Respondents remained randomly separated into 3 identical sets. Set A established 1.1 ml standard saline, Set B established 3 mg midazolam also Set C established 13.6 μg fentanyl through 3 ml of hyperbaric bupivacaine 1.1% intrathecally. Vomiting-nausea remained measured rendering to Belville’s score. The numerical study of information remained completed through experiencing SPSS evaluation version 23. Outcomes remained stated as average, SD, also assortment values. Occurrences stated as quantity also, proportion. ANOVA remained experienced for numerous set assessments; also, categorical information remained studied through Chi-square trial. Results: 26 participants in total of 33 patients in placebo set established intraoperative also primary post operation vomiting-nausea associated to 12 in midazolam set also 9 in fentanyl set. Occurrence of intraoperative also primary post operation vomiting-nausea remained 80.6% through placebo, 37.7% through midazolam also 27.7% through fentanyl. Conclusion: Intrathecal fentanyl 13.6 μg or else midazolam 3 mg, mutually decrease occurrence also sternness of vomiting-nausea once managed through bupivacaine for CS. Key words: Vomiting also nausea, CS, Vertebral anesthesia, Intrathecal fentanyl, Intrathecal Midazolam

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