The Efficacy of Intrathecal Morphine Versus Intrathecal Morphine+Dexamethasone Combination added to bupivacaine in elective cesarean section under spinal anesthesia
Patients scheduled for caesarean sections
Between 18-40 years
ASA II group
Those who will undergo spinal anesthesia
Those who prefer general anesthesia
Those who are outside the age range of 18-40
Those who are ASA III and above
Those with HT, DM, cardiac and respiratory diseases
Parallel
Group morphine
Procedure/SurgeryGroup Morphine: Spinal anesthesia will be applied to patients who will undergo caesarean section using a combination of 2 ml (10 mg) bupivacaine + 0.1 ml (100 mcg) morphine + 0.5 ml saline
Group morfin+dexamethasone
Procedure/SurgeryGroup morfin+dexamethasone: Spinal anesthesia will be applied to patients who will undergo a caesarean section using a combination of 2 ml (10 mg) bupivacaine + 0.1 ml (100 mcg) morphine + 0.5 ml (2 mg) dexamethasone
Postoperative nausea-vomiting
The incidence of postoperative nausea and vomiting will be scored from 0 to 3. No nausea or vomiting attacks will be graded as 0, a nausea attack that resolves without treatment will be graded as 1, recurrent nausea attacks that resolve with treatment will be graded as 2, and persistent nausea or vomiting attacks will be graded as 3.
Postoperative itching
The degree of pruritus will be assessed on a scale of 0 to 3, with 0 being categorized as no pruritus; 1 as mild pruritus; 2 as moderate pruritus; and 3 as severe pruritus.
Intraoperative Mean Blood Pressure
Mean blood pressure will be measured every 5 minutes intraoperatively using a noninvasive method.
Intraoperative Heart Rate
Heart rate will be measured every 5 minutes intraoperatively using a noninvasive method
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