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Effects of different doses of fentanyl combined with bupivacaine in spinal anesthesia elective cesarean section: a randomized clinical trial in the Palestinian obstetrics practice

Phase 2
Completed
Conditions
Cesarean section deliveries
Cesarean
Spinal anesthesia
Bupivacaine
Fentanyl
Registration Number
TCTR20220430008
Lead Sponsor
An-Najah National University
Brief Summary

The women who received 25 mcg of fentanyl with 7.5 mg of hyperbaric bupivacaine had significantly shorter sensory block latency, longer duration of sensory block, longer duration of analgesia, less need for rescue analgesia, expressed higher satisfaction with analgesia, experienced less hemodynamic instabilities, and experienced fewer episodes of bradycardia and vomiting compared to those who received bupivacaine alone or in combination with lower doses of fentanyl.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
160
Inclusion Criteria

1) being at least 18 years old, 2) full-term pregnancy (at least 37 weeks), 3) pregnant with a single fetus, 4) being scheduled for caesarian delivery under spinal anesthesia, 5) American Society of Anesthesiologists (ASA) physical class I and II, and 6) providing written informed consent.

Exclusion Criteria

Women who had a history of sensitivity/allergy for local anesthetics and opioids, psychiatric disorders, drug addiction, pregnancy complications, fetal distress, and/or those who could not provide written informed consent were excluded.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood pressure at 2, 4, and 6 min noninvasive blood pressure monitor,Heart rate at 2, 4, and 6 min pulse oximeter,1)Sensory block latency every min Bromage score
Secondary Outcome Measures
NameTimeMethod
duration of analgesia every min VNS
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