Comparison of the effect of adding Dexmedetomidine and Magnesium Sulphate to Hyperbaric Bupivacaine in lower abdominal and lower limb surgeries
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Spinal anaesthesia is a safe, inexpensive, commonly performed anaesthetic technique for lower abdominal and lower limb surgeries. It is rapid in onset and provides good analgesia both intraoperatively and post-operatively. Spinal anaesthesia can be performed with a wide range of local anaesthetic drugs. Spinal anaesthesia using only local anaesthetics is associated with relatively short duration of action. Postoperative pain control is major problem with spinal anaesthesia using only local anaesthetics alone and thus early analgesic intervention is needed in the postoperative period. A number of adjuvants such as clonidine, opioids, dexmedetomidine, magnesium sulphate etc. have been studied to prolong the effect of spinal anaesthesia. Various studies showed addition of dexmedetomidine, magnesium sulphate, as adjuvants improves the quality of the block. Till date there are only few studies done to compare the effects of addition of 10 micrograms of dexmedetomidine to 15 mg of hyperbaric bupivacaine and 50 milligrams of magnesium sulphate to 15 mg of hyperbaric bupivacaine. This study is designed to compare the effect of adding dexmedetomidine and magnesium sulphate to hyperbaric bupivacaine in lower abdominal and lower limb surgeries in total of 60 adult patients aged between 20-60 years undergoing lower abdominal and lower limb surgeries.
Authors and Affiliations
Dr. V. Prem Swarup, Dr. P. Kamala Subhashini, Dr. A. Jadeeswara Rao, Dr. Chandrakala Kambar
Keywords
Related Articles
- EP ID EP401618
- DOI 10.9790/0853-1710040107.
- Views 86
- Downloads 0
HistopathologicalSpectrum of Ovarian Tumors-A Three Year Retrospective Study
Context: Ovarian tumours represent about 30% of all cancers of the female genital system. They manifest in a wide spectrum of clinical, morphological and histological features. Aim: To evaluate the incidence of ovarian t...
Analysing Two Bulky Eggs In An Eagles Nest: Analysis Of Unenhanced & Contrast Enhanced Computed Tomography Study Of Adnexa To Reduce Radiation Exposure In Adnexal Pathologies.
The primary goal of imaging study is to detect an abnormality, then characterize whether malignant or benign.Various modalities have been established,each having their own pros and cons.When it comes to gynecological ima...
Intercostal nerve block proved superior to systemic analgesia in the control of chest pain in patients with traumatic rib fractures
Objective: This study was carried out to compare the efficacy of intravenous tramadol injection and intercostal nerve block with 0.5% bupivacaine injection for control of chest pain in multiple rib fractures. Methods: Pr...
Study of Psychiatric Comorbidity in Burn Patients Admitted in Rims, Ranchi
Background: Burn injuries are physically and mentally challenging events for the patients. This study was done to find if some of the burn patients have psychiatric disorder and if they have then what is the pattern of p...
Retrograde Ileo-Jejuno-Gastric Intussusception With Early Bowel Ischemia: Life Threatening Complication After Gastrojejunostomy
Jejuno-gastric intussusception is a highly uncommon condition occurring as a rare complication of gastrojejunostomy ~ less than 300 cases have been reported of this entity since it was first reported in 1914 by Bozzi. He...