Comparison of dexmedetomidine and clonidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 4
Abstract
Introduction: There are always efforts to find better and safer local anaesthetics along with adjuvants for supraclavicular brachial plexus block. Levobupivacaine has strongly emerged as a safer alternative for regional anaesthesia than its racemic sibling bupivacaine. Alpha 2 agonists are combined with local anaesthetics to improve the quality of regional anaesthesia. Method: A prospective randomized study was carried out which included 60 adult patients between the ages of 18-65 years of ASA grade I and II who underwent upper limb orthopaedic surgeries. Group A received 30 ml of 0.5% levobupivacaine with 150µg of clonidine and Group B received admixture of 30 ml of 0.5% levobupivacaine with 100 µg of Dexmedetomidine. Onset, duration of sensory and motor blockade and duration of analgesia were observed. Results: Duration of postoperative analgesia in group A was 14.36±0.36 minutes and in group B was 16.90±2.29 minutes. Hence from the above observation, the duration of analgesia in group B is longer than group A which is statistically highly significant (p<0.001). Conclusion: Dexmedetomidine as an adjuvant 0.5% levobupivacaine is more effective in prolonging the duration of sensory and motor block and post operative analgesia compare to clonidine as an adjuvant to 0.5% levobupivacaine.
Authors and Affiliations
Amar Parkash Kataria, Vishal Jarewal, Gurpal Singh, Joginder Pal Attri
Keywords
Related Articles
- EP ID EP271308
- DOI 10.17511/ijmrr. 2017.i04.05
- Views 119
- Downloads 0
To study the clinicobacteriological profile and antibiotic susceptibility pattern of community acquired pyodermas
Background: Pyodermas are the pyogenic skin infection encountered in dermatologic clinic and is mainly caused by Staphylococci and Streptococci. Aim: To find out causative organisms in community acquired pyodermas and th...
Distribution of ABO blood groups and Rh(D) factor in and around Anatapuramu, Andhra Pradesh
Background: India is a vast country with lot of diversity in race, religion and creed. The same diversity has been observed in geographical distribution of blood groups in population within country. ABO and Rh blood grou...
Role of FNAC in the diagnosis of cysticercosis
Background and Objectives: Cysticercosis is a common tropical disease. Human cysticercosis is caused by the dissemination of the embryo of Taenia solium in the intestine via the hepatoportal system to the tissues and org...
Role of trans rectal and scrotal ultra sonography in male infertility
Introduction: Investigation of male infertility is assuming greater importance with male factors implicated as the cause in up to half of the infertile couples. This prospective cross-sectional study aims to establish th...
Antenatal diagnosis of oesophageal atresia with tracheoesophageal fistula with upper neck pouch sign-A radiological study
Oesophageal atresia is rare antenatal diagnosis due to absence of clinical and sonographic findings. On antenatal USG, the finding of an absent or small stomach bubble with polyhydramnios is considered suspicious of oeso...