A Comparative Evaluation of Dexmedetomidine And Clonidine As An Adjunct With Inj. Levobupivacaine For Thoracic Epidural Anaesthesia in Open Cholecystectomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background: Clonidine and Dexmedetomidine are alpha 2 adrenergic agonists when used intrathecally with local anesthetics, they are known to potentiate the action of local anesthetics as well as have analgesic properties.we use both the drugs in thoracic epidural anaesthesia with Levobupivacaine. Aim: To find better adjuvant in regional anesthesia comparing efficacy and clinical profile of alpha 2 adrenergic agonists Clonidine and Dexmedetomidine with special emphasis on the following parameters 1. Hemodynamic stability and sedative property 2. Onset and duration of sensory and motor block 3. Ability to provide smooth intraoperative and post operative analgesia. Methods: 50 patients of ASA grade I and II, scheduled for elective cholecystectomy at our institute satisfying inclusion criteria were selected and divided randomly into two groups C and D. Hemodynamic parameters, onset and duration of sensory block and motor block, duration of epidural anesthesia and sedation scores recorded. Results: Sensory and motor block times were significantly longer in group D than Group C. The mean duration of sensory block was 205.2 (±25.87) min. in group C and 261.6 (±32.71) min. in group D and mean recovery time of motor block was 251.4 (±40.44) min. in group C and 322.2 (±24.60) in group D. Patient of group D had significantly less and delayed requirement of rescue analgesic i.e. mean duration of epidural anesthesia is 378.6 (±75.49) min. in group C and 492 (±49.99) min. in group D. Conclusion: Epidural Dexmedetomidine with isobaric Levobupivacaine significantly prolongs sensory and motor block and post operative analgesia as compared to Clonidine.
Authors and Affiliations
Dr. Subhash ranjan das, Dr. Tushar H. Majumder, Dr. Chirashree chowdhury, Dr. Biswajit chakraborty
Keywords
Related Articles
- EP ID EP251459
- DOI 10.9790/0853-1612093237
- Views 93
- Downloads 0
Negative Pressure Wound Therapy using locally available resources in managing wounds in orthopaedics: Our experience and Review of literature.
Negative Pressure Wound Therapy(NPWT) has remained one of the popular methods of managing complex wounds across surgical branches, including orthopaedics. Creating a sub atmospheric pressure on wound bed helps in granula...
To Study The Effect of Pretreatment With Ephedrine on The Intubating Condition And Hemodynamic Characteristics on The Rocuronium In Patient Undergoing General Anaesthesia: A Randomised Controlled Study
Onset time of neuromuscular blocking drugs depends on the rate at which a pharmacologically effective concentration is achieved in the neuromuscular junctional cleft which in turn is determined by muscle blood flow and c...
Management of Idiopathic Congenital TalipesEquinovarus byPonseti’s method – In Indian Prospects.
Objective:Idiopathic CTEV is one of the common congenital complex deformity of the foot.Incidence of which is about 1/1000 live birth. Club foot is treated by series of corrective manipulation and cast application. Here...
Does Controlled And Uncontrolled Type IIDiabetes Mellitus Affect Median Nerve Conduction Parameters? - An Analytical Study.
Background: Diabetic neuropathy is one of the most commonly occurring micro vascular complications.Glycatedhaemoglobin (HbA1c) has been established as a marker of glycemic control and it also indicates the risk of develo...
Electrocardiographic Changes in Acute Stroke: Early Predictor of Ischemic or Hemorrhagic Nature of Stroke?
Background: ECG changes have been widely reported in stroke patients, but these have neither been adequately interpreted, nor they have been studied along with the nature of the stroke or its location. Aims & Objective:...