Comparison of anaesthetic efficacy of nalbuphine and dexmedetomidine as an adjuvant to ropivacaine and lignocaine in supraclavicular block for upper limb surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 3
Abstract
Background: Brachial plexus block provides an useful alternative to general anaesthesia for upper limb surgeries. The block characteristics of dexmedetomidine and nalbuphine as adjuvants to ropivacaine, a newly emerging local anaesthetic which is less cardio and neurotoxic along with lignocaine in supraclavicular brachial plexus block is being compared. Materials and Methods: A randomized prospective controlled double blind study was undertaken in patients who were posted for upper limb surgeries under brachial plexus block. 60 patients of ASA class I and II were randomly grouped into two groups. Group N received 20 ml of ropivacaine 0.5%, 10 ml lignocaine 2% mixed with 10mg of nalbuphine and Group D received 20 ml of ropivacaine 0.5%, 10 ml of lignocaine 2% with 50 microgram of exmedetomidine. The onset and duration of motor and sensory block, incidence of side effects where compared between the two groups. Results: Group D had quicker onset of both sensory and motor block and prolonged duration of postoperative analgesia, thus reducing the requirements of rescue analgesics when compared to group N.
Authors and Affiliations
Sowmya Shanmugam, Uma R, T M Gayathri, S Nageshwari
Keywords
Related Articles
- EP ID EP360233
- DOI -
- Views 193
- Downloads 0
Comparison of Analgesic Efficacy of Butorphanol and Fentanyl in Various Surgeries
Background: An ideal perioperative analgesic should offer protection against the pressor response should provide intense analgesia sufficient to relieve pain of surgical incision, maintain the haemodynamic parameters and...
Regional anesthesia in patients with scoliosis -A single centre clinical experience in India
Background of the study: Anesthesia in scoliotic spine is challenging because of the rotation of the vertebrae and indifferent spread of the drug following spinal blockade. The present prospective study was taken up to a...
Efficacy of supraclavicular brachial plexus block by using USG guided method versus peripheral nerve stimulator guided method: A comparative study
Background: Regional blocks offer several advantages over general anaesthesia. Supraclavicular approach to brachial plexus block is the preferred regional anaesthesia for upper limb surgeries they achieve ideal operating...
A Study of incidence onset nature location and duration of post dural puncture headache with quicke's needle no 22 and 26 and whitacre needle no 25
Background: The problem of post dural puncture headache is not common in all patients who received lumbar puncture for diagnostic or anaesthetic reasons and but found to be more common after Caesarean section in young pa...
Effect of intrathecal labor analgesia using fentanyl 25μg alone and fentanyl 20μg plus bupivacaine 2.5mg on the progress of labor
Background: The aim of this study was regarding the effect of intrathecal analgesia using fentanyl or fentanyl and bupivacaine combination during normal vaginal delivery on onset and duration of analgesia, pain scores in...