Intrathecal Fentanyl with Hyperbaric Bupivacaine for Spinal Anesthesia in Abdominal Hysterectomy: A Literature Review
DOI:
https://doi.org/10.48047/vebx7f37Keywords:
fentanyl, hyperbaric bupivacaine, abdominal hysterectomy, visceral traction reaction, spinal anesthesiaAbstract
Background: Abdominal hysterectomy performed under spinal anesthesia may be accompanied by visceral discomfort when the uterus, broad ligaments, peritoneum, and adjacent pelvic structures are manipulated. Hyperbaric bupivacaine provides reliable somatic anesthesia, but visceral traction can still provoke deep pain, nausea, vomiting, restlessness, and autonomic responses. Intrathecal fentanyl is commonly added to bupivacaine because its high lipid solubility allows rapid spinal opioid action
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References
Aarts JWM, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;(8):CD003677.
Struller F, Weinreich FJ, Horvath P, et al. Peritoneal innervation: embryology and functional anatomy. Pleura Peritoneum. 2017;2(4):153-161.
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