Low Dose Hyperbaric Bupivacaine and Dexmedetomidine as an Adjuvant, Caesarean Section

Low Dose Hyperbaric Bupivacaine and Dexmedetomidine as an Adjuvant, Caesarean Section: Randomized Controlled Trial

The aim of this study is to evaluate the effectiveness of low dose scheme with dexmedetomidine as an adjuvant. Taking in consideration optimum intraoperative surgical conditions, best post-operative pain free experience, and more stable hemodynamic.

Inclusion Criteria:

• Full-term pregnant women
• Singleton gestation
• American Society of Anaesthesiologists (ASA) physical status classes II and I

Exclusion Criteria:

• Preterm pregnancy (<37 wks. gestation)
• Multiple gestation
• Cardiovascular disease (e.g., preeclampsia, hypertension) and the use of antihypertensive medications
• Asthma and allergy to non-steroidal anti-inflammatory drugs
• Conditions that prevent spinal anaesthesia
• Failed spinal block and conversion to general anaesthesia
• A history of established chronic pain
• Drug addiction
• A psychiatric disorder
• Inability to communicate effectively