Comparative Study of Butorphanol Versus Fentanyl With Bupivacaine In Supraclavicular Approach Of Brachial Plexus Block
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Introduction: Narcotic analgesics in spite of their disadvantages, maintain the supremacy in peripheral nerve block. Butorphenol is one of the potent narcotics used by various routes in postoperative period. Supraclavicular approach of brachial plexus block is a very popular technique of anaesthesia for upper limb surgeries. Various opioids have been used as additives to improve and prolong the perioperative analgesia. Fentanyl is commonly added to bupivacaine which results in increased duration of blockade. Materials and Methods: After exclusion criteria and informed consent 90 patients posted for routine or emergency forearm and hand surgeries were included after randomization with coin test. They were divided into 3 groups. Group 1 received 40 ml of 0.25% bupivacaine with 1 ug/kg fentanyl. Group 2 received 40 ml 0.25% bupivacaine with 30ug/kg butorphenol and group 3 received 40 ml of 0.25% bupivacaine with 40 ug/kg butorphenol. Sensory and motor blockade was evaluated. Intraoperative baseline pulse rate, blood pressure, respiratory rate and SPO2 were monitored. Results were analysed using appropriate statistical tests. Complications and side effects were recorded. Conclusion was drawn in terms of effectiveness of the dose of butorphenol.
Authors and Affiliations
Dr Vinaya R Kulkarni, Dr Sanyogita Naik, Dr Lipi Mishra
Keywords
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- EP ID EP369646
- DOI 10.9790/0853-1703105360.
- Views 58
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